BASEBALL REGISTRATION FORM by OF6eor4

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									                                           BASEBALL REGISTRATION FORM
                                             2012 Owatonna Youth Baseball
                                          Registration- February 25, 2012
                                                   (Return this entire page with registration)



Player’s First Name_______________ Last Name ______________________                                          Minor League
                                                                                                        _______Age U11        $150

Address________________________________ Phone # ________________                                        _______ Age U12       $300     (#243)

City/State/Zip Code ______________________________________________                                      _______ Age U13       $300     (#244)

                                                                                                        _______ Age U14        $300    (#244)
School __________________Current Gr. _________ Birth date___________
                                                                                                        _______ Age U15       $300     (#244)
Any disabilities: Yes (explain) __________________________ No____
                                                                                                        Helmets and Uniform included
    NEW STYLE UNIFORM FOR 2012 MAKE SURE THEY FIT CORRECTLY
                                                                                                        $10.00 Late Fee after March 21, 2012
Shirt Size (circle one)            Pant Size (circle one)                  Sock Size (circle)           Minor League Volunteer Deposit: See
                                                                                                        Mandatory Work deposit hand out
Youth Shirt S M L                   Youth Pant S M L XL                          S M       L
                                                                                                        _______ Deposit Fee $100.00
Adult Shirt S M L XL Adult Pant S M L XL
                                                                                                        _______ Fundraiser $50.00
Parent/Guardian: Please Read the following and sign below. I, the parent/guardian of the player
named above, hereby grant permission, in case of injury, for our son/daughter to be given               Checks Made Payable to: Huskies Bullpen
emergency first aid, at the Owatonna hospital or nearest medical facility. I further approve of our
                                                                                                        3 checks necessary:
son/daughter’s participation in this Youth Baseball activity, assume all responsibility and liability
involved and agree to hold free from any and all liability the City of Owatonna and its employees,      1 for Fees, 1 for Volunteer Deposit,
any Owatonna Private, Public, or Parochial School System, and the Huskies Bullpen Club, its
officers, directors , supervisors, managers, coaches, volunteers, or representatives. I understand      1 for Fundraiser
that the Huskies Bullpen Club provides no insurance of any kind.
                                                                                                        Parent volunteers are needed for the
Parent/Guardian (please Print)____________________________________________________                      following: Please check any that you can
                                                                                                        help with:
Daytime Phone_______________________ Evening Phone__________________________
                                                                                                        ______   Coaching
Emergency Contact Name________________________________ Phone _________________
                                                                                                        ______   Concessions
Signature_________________________________________________ Date________________
                                                                                                        ______ Committees (Fundraising,
_______ Please check if you do not want your child’s picture/name used for publicity                    Sponsorship, Minor League Committee)

Refund policy posted on Owatonnabaseball.com                                                            ______   Team Parent Representative

E-Mail Address: ___________________________________                                                     ______   Tournament Worker

                                                                                                        Scholarship Donation: $1 or $_____

                                                                                                        ____________ We will donate $1 toward
Office Use:                                                                                             the Youth Scholarship Fund to help children
                                                                                                        who would otherwise not be able to
                                                                                                        participate.


REGISTRATION CHECK #________                   DEPOSIT CHECK #_________                 RECEIVED BY_________

								
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