Lancaster Depew Baseball League Inc

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					                                                                                                                          Divisions          Age        Cost
                                                                                                                          Tee Ball           5–6         $50
                                                                                                                           Pitching Machine 7 – 8         65
                                                                                                                           Federal           9 – 10       65
                                                                                                                           Majors           11 – 12        65
                                    House Registration Form                                                              * Seniors
                                                                                                                         * 16 Year Old
                                                                                                                                            13 - 15
                                                                                                                                               16
                                                                                                                                                         100
                                                                                                                                                         100
                                                                                                                         * Big League       17 – 18      100
                                                                                                                           Family Rate $105 / *no family rate
Parent Information:
               Name                                      Address                          Town / State / Zip Code                Phone 1             Phone 2

Parent 1: ___________________________            ___________________________             _______________________              _____________      ______________

Parent 2: ___________________________            ___________________________             _______________________              ______________      _____________

                                Email 1                                                                              Email 2

Parent 1: ________________________________________________                            _________________________________________________

Parent 2: ________________________________________________                            __________________________________________________

Mark an “X” if interested in the following:
Manager: _______        Coach: ________                  Team Rep: ________                   Team Sponsor: ______              Board Member: _____
**NOTE: Managers upon board approval will have their concession stand obligation waived, however, their concession stand deposit check will be used as a
deposit for league equipment. If anyone accepted the concession buyout, they will be refunded.


Player Information                     (write same as parent1, same as parent 2 or same as both):

                 Name                                  Address                  DOB             Grade           School            * Division       # Boxes

Player 1: _________________________          ______________________         ____________        _______       ___________         ___________     _______

Player 2: _________________________          ______________________         ____________        _______       ___________         ___________     _______

Player 3: _________________________          ______________________         ____________        _______       ___________         ___________     _______

Comments: ________________________________________________________________________________________________________________
            ________________________________________________________________________________________________________________

Mark an “X” if interested in the following::       Fall Baseball: __________                Umpire: __________
*Your child will be placed into their appropriate division based on our age matrix. No child can play down. If you are intending your child to play in a different
division from our age matrix, YOU MUST NOTE THIS IN THE COMMENTS

                                                                      Agreement
We, the parents, herby give our approval to our child’s participation in all league activities during the current season. We assume all risks and hazards
incidental to such participation and hereby waive, release, absolve, and agree to hold harmless Lancaster-Depew Leagues, Inc., the organizers, sponsors,
supervisors and participants from any claim arising out of an injury to our son/daughter, except to the extent covered by accident or liability insurance. We
agree to be financially responsible and return upon request the uniform and other equipment issued to our child in as good condition as we received it, except
for normal wear and tear. We certify that the information given above is true and correct.

If you have at least (1) child playing in the T-Ball, Pitching Machine, Federal or Majors age division, your registration IS NOT COMPLETE until you sign-up
for a concession stand slot and we receive your deposit check or you accept the buyout option. You are also required to sell a minimum of one box of candy.

Parent Signature: ____________________________________________________                                                    Date : ________________
                                             Please make your checks payable to: Lancaster-Depew Baseball League, Inc.

                                                Payment Summary for league use only
                                                                                  Check Number:           Concession Date/Time                 Accepted By
Concession Stand - $50 Deposit
(Refundable after working a 2 hour shift - Separate check required)
Concession Stand Buyout Fee ($50)
                                                                                                                                           $
Candy Fee: ($45 per box or $30 Buyout) per child                               Number of Boxes Received:
                                                                                                                                           $
Registration Fee (Family rate $105)                                            Number of Players in Family
                                                                                                                                           $
Other Fee: (e.g Late Fee or Credit Card Fee)                                                                                               $
Balance Due at Check-Out:                                                                                                                  $
Check Number:                                                                                                Accepted by:
                               Visit our website at: www.lancaster-depewbaseball.com

				
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posted:10/31/2011
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