| FAMILY INFORMATION |
| Family Last 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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| Email Address(es) |
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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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| What can you volunteer for? |
Field Prep/Team Mom/Fundraising/League Executive/Concession/Home Run Fence
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| Waiver of Liability |
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.
Please type in - I Accept *
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| Registered By: (Must be a legal guardian) * |
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| Child 1 |
| First 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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| Child 2 |
| First 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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| Child 3 |
| First 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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By clicking this box, I agree to the waiver and wish to register my child. If the required fields are not filled in correctly, you will need to uncheck the box and check the box again to resubmit.
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EXPECT A CONFIRMATION EMAIL FROM OUR REGISTRAR IN THE NEXT FEW DAYS AFTER FORM IS COMPLETED. Please ensure that you can receive email from " registrar@vancouverminorbaseball.ca" This is especially true for users of HOTMAIL.COM and LIVE.CA |
