GILKSON BASEBALL REGISTRATION FOR 2012
111 Cranbrook Dr Reg #: _________
Hamilton, On L9C 4S5
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
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: _____________________