Print Form
Palmyra Civic Baseball Association
Tee Ball Player Enrollment Form
Ages 5 - 6
Please Commit to Participate on at
Least One Volunteer Committee:
(or you will be assigned a committee)
�
Fundraising
Jamboree Day
Concession Stand
Field Maintenance
Head Coach
Assistant Coach
Player Information
Name:
Birth Date:
Age as of April 30:
T-shirt size
Parent/Guardian Information
Returning
Player?
Name:
State:
Zip
Other Information:
Home Phone #:
Work Phone #:
Cell Phone #:
E-mail address:
Emergency Contact
Name:
Phone Number:
Signature
No
Last Year's Team:
Address:
City:
Yes
Date
Registration Forms received after January 26 will be assessed a $10 late fee.
No Registration Forms will be accepted after February 28, 2013.