Gilkson Baseball Registration 2012

							                                   GILKSON BASEBALL REGISTRATION FOR 2012
                                           111 Cranbrook Dr                                    Reg #: _________
                                         Hamilton, On L9C 4S5
                                             905 523-9520
LAST NAME: _______________________________________                                 TOTAL YEARS PLAYED: ______

FIRST NAME: _______________________________________                                YEARS AT GILKSON: _____

GENDER:            Male          Female                                            GOALIE:        Yes        No

BIRTH DATE (mm/dd/yyyy): _____/_____/_______

STREET ADDRESS: ___________________________________                       MOTHER'S NAME: _________________________

STREET ADDRESS: ___________________________________                      FATHER'S NAME: __________________________

CITY: __________________________             POSTAL CODE: _______________

PHONE NUMBER: (             ) _______-________                      e-MAIL ADDRESS: _______________________________

EMERGENCY #:         (      ) _______-________

WE RELY ON VOLUNTEER SUPPORT. IF YOU CAN HELP PLEASE PRINT YOUR NAME(S) BELOW - THANK-YOU
   COACHING                                    ASSISTANT COACHING                    CONVENER

COMMENTS _____________________________________________________________________________________
________________________________________________________________________________________________

PARK POLICY

       A partial refund will be issued after the first (1st) game, but no refund will be issued after the third (3rd)
       A surcharge will be applied for NSF cheques.
       Player placement will be according to a random draft.
       Only siblings may request the same team.
       Players may be traded between teams at the Gilkson Soccer or Baseball boards' discretion.
       Physical violence or verbally abusive behavior will not be tolerated before, during, or after all programs, in
        accordance with Hamilton's Zero Tolerance Policy for Violence in Recreational Properties and Facilities.
       Spaces are limited, Registrations are on a first come first served basis.
       Payment in full must be received by Gilkson sports in order to process the registration.

NOTICE OF WARNING:
There is a potential risk in training and participating in any sport.

Parent or Guardian Signature: _____________________________________________ Date: __________________


REGISTRATION FEE: $________                 CASH            CHEQUE



                           GILKSON BASEBALL REGISTRATION RECEIPT FOR 2012
                            111 Cranbrook Dr, Hamilton, On L9C 4S5 - 905 523-9520                Reg #:
                         Received For: __________________________________________________

                         Received From: _____________________________________________

Date: _____/_____/_______                   Registration Fee: $________           Received By: _____________________