Registration Form 2008

ON-LINE REGISTRATION IS NOT WORKING PLEASE PRINT AND MAIL
Print and fill out a form for each player being registered.
Mail to the following address:
Chilliwack Minor Baseball
Att: Registrar
Box 313, Chilliwack, B.C. V2P 6J4
Registration is NOT complete until your registration form is recieved and cheque cashed.
No refunds after April 15, 2008
Administration Fee for refund: $20.00
NSF CHEQUES: $20.00

Please sign waiver:
I hereby certify to and gree to carry out fully the rules and regulations of the Chilliwack Minor Baseball Association:
Waiver Agreement: In consideration of this application to play under the auspices of the Chilliwack Minor Baseball Association I do hereby, for myself, child for whom this registration is assigned, parents, guardians, heirs, executors, administrators and assigns, remiss, release and forever discharge the Chilliwack Minor Baseball Association, its officers, successors, member associations and anyone acting on their behalf from all manner of litigation, damage claims or demands in law equity, which I may have or acquire by reason of personal injury to myself, loss or damage to myself or property, which may occur during or by reason of my participation in games under it's jurisdiction, This certificate has been issued at the discretion of the Association and may be suspended by them for cause.

Date:____________ Signature of player/parent/guardian ______________________________

Name *
E-mail Address *
Player's Surname *
Player's First Name *
Address *
City, Province *
Postal Code *
School Attending *
Home Phone *
Player's Birthdate *
Player's Gender *
Parent / Guardian's Surname *
Parent / Guardian's First Name *
Doctor's Name *
Doctor's Phone Number *
Medical Number *
Medical Problems / Allergies
	I hereby certify to and agree to carry out fully the rules and regulations of the Chilliwack Minor Baseball Association.
Today's Date *
Last Team Played for
Coach
Years Played *
Positions Played *
Comments on Positions Played
Division to Play This Year *
Parent / Guardian Volunteer: I would like to: *
Comments on Volunteering: years experience, etc.
	Please subscribe me to the Chilliwack Minor Baseball Newsletter.

* Fields marked with an asterisk are required fields

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BLASTBALL -
TADPOLE -
MOSQUITO -
PEEWEE -
BANTAM -
MIDGET -
THERE WILL BE AN ADDITIONAL CHARGE FOR MIDGET AAA PLAYERS

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