| FALL BALL REGISTRATION |
| Questions marked by * are required. |
| 1. |
Division:
|
| 2. |
Are you new to VMBA ? *
|
| 3. |
Family Last Name
|
| 4. |
Player's Name
|
| 5. |
Address:
|
| 6. |
City :
|
| 7. |
Postal Code:
|
| 8. |
Email: *
|
| 9. |
Date of Birth ( YYYY-MM_DD)
|
| 10. |
Home Phone Number
|
| 11. |
Mother's / Guardian Cell Phone:
|
| 12. |
Dad's / Guardian Cell Phone:
|
| 13. |
Last League that you played in :
|
| 14. |
Any Medical Concerns ?
|
| 15. |
Mother's /Guardian Name
|
| 16. |
Father's / Guardian Name
|
| 17. |
Emergency Contact
|
| 18. |
Emergency Phone Number
|
| 19. |
Wavier of Liability *
- I ACCEPT
- AS THE PARENT/GUARDIAN OF THE ABOVED 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 RICKS AND HARZARDS 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,PARTCIPANTS AND PERSONS TRANSPORTING MY CHILD FROM ANY AND ALL LIBILITY, INCLUDING NEGLIGENCE. I have read the waiver of liability and agree. If you don not agree, you cannot submit this form: Please check : I ACCEPT
|
| 20. |
Registered By:( Must be a legal guardian) *
|
| 21. |
TERMS: *
|
| |
