Please PRINT all information. Return form, copy of birth certificate and payment to:
NBGSA*PO Box 983*Niles, Michigan49120
First Name: / Last Name:
Date of Birth: / Age on January 1, 2018:
Address: / Township: School:
City: / State: / Zip Code:
PARENT/GUARDIAN
Guardian: / Text Ok?:Yes No
Address: / Phone service carrier:
City/State/Zip: / To receive updates text @nbgsa1 to 81010
Phone:
Email Address:
EMERGENCY CONTACT
Name: / Relationship: / Phone:
DIVISIONS AND FEE INFORMATION
(Check appropriate division per player’s age as of January 1, 2018.)
□Division 1 (4 - 5 year olds) $70
□Division 2 (6 - 8 year olds) - $70
□Division 3 (9 – 10 year olds) - $80
□Division 4 (11 – 13 year olds) - $95
□Division 5 (14 – 18 year olds). - $95
**For each additional player only if from the same family - $55
**There is a $20 concession stand fee (this is included in the registration fee) for each player, parents will receive $10 back for each concession stand shift that they complete (2 per player). Must be 18 or older to sign up.**
Have you played in the league before?: □ YES □ NO Team Name: ______
Did you play on this team last year?□ YES □ NO
Do you have a sister playing in this league? □ YES □ NO Team Name: ______
UNIFORM INFORMATION
(Circle the appropriate size list below. ONLY DIVISIONS 4 & 5 wear pants.)
# Choice / 1st: / 2nd:
SHIRT / Y-S / Y-M / Y-L / Y-XL / A-S / A-M / A-L / A-XL / A-XXL / A-XXXL
SHORT / Y-S / Y-M / Y-L / Y-XL / A-S / A-M / A-L / A-XL / A-XXL / A-XXXL
PANT / Y-XL / A-S / A-M / A-L / A -XL / A-XXL / A-XXXL
PARENT SHIRT
*Name $12.00 / 2XL $14.00 each* *Number $3.00 each*
Qty / Size / Name (if applicable) / Number (if applicable)
FUNDRAISER INFO: $20 coupon books to be distributed at first practice. Prizes awarded to top sellers in each division
FUNDRAISING OPT-OUT: An Opt-Out fee of $25 is available if you prefer to not participate in any league fundraisers. Opt Out: □ YES □ NO
FOR OFFICAL USE ONLY!
Automatic: Yes No Team Name: ______
Draft: Yes No Division: ______
Sister: Yes No
Drafting Up: Yes No Division: ______/ Registration Date: ______
Registration Fee: ______
Fund Opt Out: ______
Parent Shirts: ______
On Line Date: ______/ Cash: ______
Check: ______
Check #: ______
Rcv’d By: ______
NOTE: All players are individually registered with insurance carried by USA Softball of MIchigan. This is a secondary coverage which carries a $250.00 deductible (paid by parent/guardian) and is effective for reasonable and customary charges only after claims have been filed with the player’s primary insurance and all deductibles have been met. The NBGSA league is not responsible for any expenses.
DISCLAIMER: In accordance with Article XI of the NBGSA, Inc, by law the NBGSA league, board membes and USA softball of Michigan will not be held responsible for any accidents or incidents which may arise from the participation of NBGSA members and/or players while participating in tournaments which are not approved by the NBGSA board members, therefore all league insurance on said players becomes null and void.
Player’s Signature: / Date:
Parent’s Signature: / Date:
POLL INFORMATION FOR PARENTS
Are you able to volunteer any of your time? □ YES □ NO If so, in what capacity? ______
Are you interested in Coaching? □ YES □ NO Team Name: ______
REGISTRATION DUE DATES
- Payment with the registration form is due BY March 30, 2018.
- Registration forms without payment will not be accepted. This is a new policy that will be strongly enforced.
- A $25 NSF fee will be assessed to all returned checks and must be resolved prior to the start of season.
- Players registering after March 30, 2018 will be assessed a $10 late fee and will be put on a waiting list.
- All players registered by March 30, 2018 are assured on a team.
~In the event of financial hardship, please contact a board member ASAP~
IMPORTANT NOTICE
Players that were NOT registered in 2017MUST include a copy of the player’s birth certificate! No Exceptions.
AGE REQUIREMENTS: Age is determined by a player’s age on January 1, 2018.
- Division 1 (4 -5 year olds) Pitching machine, hitting off a batting T & allows development of skills.
- Division 2 (6 – 8 year olds) Machine pitch.
- Division 3 (9 – 10 year olds) Live pitch.
- Division 4 (11 – 13 year olds)
- Division 5 (14 – 18 year olds)
2018 BOARD MEMBERS
President –Michelle Horvath 269-635-9556* Vice President – Chris Carlson 269-591-1005
Secretary – Cydni Kiggins 269-362-7601 * Treasurer – Deana Pellow 269-470-1354
Fundraising – Joe Kemp 269-362-0867
NBGSA * PO Box 983 * Niles, Michigan 49120
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