Gourley Park Community Association
2016 T-BALL, 3&5-Pitch & Slo-Pitch – Registration Form
Division
Registration Fee applicable as below

JUNIOR T-BALL
Ages 4-5
$60

SENIOR T-BALL
Ages 5-6
$60

5-PITCH BASEBALL
Ages 7-8
$65

3-PITCH BASEBALL
Ages 8-11
$70

JUNIOR SLO-PITCH
Ages 11-14
$70

SENIOR SLO-PITCH
Ages 14-17
$70
Male 
Female
DOB M _____ D _____ Y _______ Health Card # ___________________
Name of Player _________________________ Parents/Guardian ______________________________________
Address __________________________________ Postal Code ___________ Phone # ____________________
Emergency Contact Name (if you are not present) ______________________ Emerg. Contact Phone # _______________
E-mail address ___________________________________________________ (VERY Important)
Do(es) your child(ren) have any medical or allergy problems? Yes  No 
If yes, give details ___________________________________________________________________
Parental/Guardian Permission Wavier
I, ___________________________________ as parent  or guardian  of the child named above, give consent for him/her to
play in the Gourley Park Association Baseball League and absolve the executive and directors of any responsibility in the event
of injury.
Date: _________________ Signature: ____________________________________________
Volunteers Needed!
A vital part of running a successful community softball league is the contribution of many volunteers. Our youth
teams need coaches, assistant coaches, scorekeepers, umpires, sponsors, etc. Please indicate what help you are
willing to provide:
Name: ___________________________
Telephone No. ____________________________
Position : Anything Needed ______ Head Coach ______ Assistant Coach ______ Parent Helper ______
Payment Method
$60/65/70 Cash $60/65/70 Cheque
For further info. or to register please Contact Randy Chapple at 905-388-5185 or email [email protected]
Forms may be dropped off or mailed to 862 West 5th Street, Hamilton L9C 5R5 FULL PAYMENT must accompany the Reg.