| 2014 SPRING REGISTRATION |
| Questions marked by * are required. |
Family Surname Name:
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Mother / Guardian Full Name
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Father / Guardian Full Name
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Address and City
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Postal Code
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Home Phone Number
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Mother / Guardian Cell Phone
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Father / Guardian Cell Phone
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Emergency Contact
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Emergency Contact Phone Number
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Comments / Special Requests
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How did you hear about VMBA ?
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Player ONE: First & Last Name
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Date of Birth (yyyy-mm-dd)
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Gender
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New to VMBA ?
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Last League Played & Year
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Name of School
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Any Medical concerns ?
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Player TWO: First & Last Name
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Date of Birth ( yyyy-mm-dd)
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Gender of Player 2
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New to VMBA ?
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Last League Played & Year
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Name of School
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Any medical concerns ?
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Player THREE: First & Last Name
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Date of Birth ( yyyy-mm-dd )
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Gender of Player 3
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New to VMBA?
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Last League Played &Year
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Name of school
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Any medical concerns
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Waiver of Liabilty *
AS THE PARENT/GUARDIAN OF THE ABOVE NAMED PLAYER, I DO HEREBY GIVE MY APPROVAL FOR MY CHILD TO PARTICIPATE IN ANY AND ALL BASEBALL ACTIVITIES FOR THE CURRENT SEASON. I ASSUME ALL RISKS AND HAZARDS INCIDENTAL TO HIS/HER PARTICIPATION AND I WILL AGREE TO WAIVE, RELEASE, ABSOLVE AND PROMISE TO INDEMNIFY AND SAVE HARMLESS THE VANCOUVER MINOR BASEBALL ASSOCIATION, ITS OFFICERS, MANAGERS, COACHES, UMPIRES, PARTICIPANTS AND PERSONS TRANSPORTING MY CHILD FROM ANY AND ALL LIABILITY, INCLUDING NEGLIGENCE.
I have read the waiver of liability and agree. If you do not agree, you cannot submit this form
I Agree & Accept Disgree |
Registered By: ( Must be a legal guardian ) *
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Email:Submitter Email address, one only *
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Additional Email address
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