CENTRAL BASEBALL LEAGUE

P.O. Box 1951, Sechelt, B.C. V0N 3A0

Baseball for kids from WilsonCreek to Egmont

2007 REGISTRATION FORM

Central Baseball League offers baseball to all children who are born in 1989 to 2001. To register for the 2007 baseball season, please complete this form

2007 SEASON FEE STRUCTURE:

(Blast/T-Ball/Tadpole $55) (Mosquito/PeeWee $80) (Bantam/Midget $90) The fee is for each player registered.

Please make out a separate uniform deposit cheque, dated July 1, 2007 to Central Baseball League for $75/uniform/player. Remember to add the participant’s name to the bottom of your cheque. Your cheque will be destroyed at the end of the season when the uniform is returned in good condition. Early discount of $10 if registered before February 28th, 2007. Family discount of $10 applies to families registering more than one player.

Drop off Registration to Sechelt Fish Market, or mail to Central Baseball League, PO Box 1951, Sechelt, BCV0N 3A0

Player1 Full Name: ______Home Phone:______

Date of Birth: M______D______Y______Sex (tick): M___ or F___ Cell Phone______

Medical Conditions______

Player2Full Name:______Home Phone:______

Date of Birth: M______D______Y______Sex (tick): M___ or F___ Cell Phone______

Medical Conditions______

Mother ______Father ______Guardian ______

Home mailing address ______

Residence address: (if diff. from mailing)______

Residence E-mail Address: ______# years played baseball______

Emergency Contact Name: ______Emergency Contact Phone______

Check: ___T Ball (born in 2001/00) ___Tadpole (born in 1999/98) ___Mosquito(born in 1997/96)

___Pee Wee(born in 1995/94) ___Bantam (born in 1993/92) ___Midget (born in 1991/90/89)

How did you find out about us? (circle) Newspaper Cable TV School ad Road Sign Email Radio

WAIVER AND RELEASE CONSENT

I/we the parents of the above named candidate for a position on a BC Minor Baseball Team hereby give my/our consent to their participation in any and all League activities during the current season. I/we assume all risk and hazards incidental to such participation, including transportation to and from the activities and I/we do hereby waive, release, absolve, indemnify and agree to hold harmless the local League, BC Minor Baseball Association, the organizers, sponsors, supervisors, participants and person transporting my/our child to or from activities, for any claim out of injury to my/our child except to the extent covered by accident and liability insurance. I/we will furnish a certified birth certificate of the above named candidate upon the request of the League Officials.

______

Parent/Guardian Name (please print)Parent/guardian signature Date

VOLUNTEERS(Please check any of the following categories you are willing to do)

___Coach* ___Asst Coach* ___Scorekeeper* ___Phoning ___Concessions ___Certified Umpire*(paid position)

___Clinics ___Uniform/Equipment manager ___Division manager ___Field Lining___Rep team*

Volunteers Name: ______Phone:______

*Adults working with youth will be required to undergo a criminal records check. Applications will be available at the RCMP detachment office

Fees: Player1:$______Player2:$______Player3$______Subtotal$______

Less early discount ($10)$______

Less Family Disc ($10)$______

TOTAL$______