PLAY BALL! Be part of the ANHAA family, come sign up for spring t-ball, baseball and softball! • Meet new people • Have a Blast • Improve your game! NEW! Online Registration @ www.anhaa.org Information sessions and walk-in registration will be held at Conway Field, 911 Ave G, Ardsley PA 19038 on: • Wednesday Feb 6 7pm - 9pm • Saturday Feb 9 10am - noon • Wednesday Feb 13 7pm - 9pm • Saturday Feb 16 10am - noon • Wednesday Feb 20 7pm -9pm • Saturday Feb 23 10am - noon For more information check out our website, www.anhaa.org email [email protected] or call (215) 512-7567 The Abington Board of School Directors assumes no responsibility for the opinions, information, and possible typographical errors and omissions, etc. that may be reflected in this flyer ARDSLEY NORTH-HILLS ATHLETIC ASSOCIATION BASEBALL/SOFTBALL REGISTRATION FORM 2013 You can now register online at www.anhaa.org Last Name: _______________________________ First Name: _____________________________ Street Address: ________________________________________ City: _____________Zip: ___________ Telephone: Home: _______________ Work: _______________ Cell 1: ____________ Cell 2: ___________ email address 1: _____________________________ email address 2: _______________________________ Birth Date (mm/dd/yyyy) ___________________ Gender: Male Female Parent/Guardian Name: ____________________________________________________________________ AGE T-BALL: 6 and under - MUST BE age 4 by 1/1/2013: Cost: $85.00 SOFTBALL: Ages 7 through 10 - Age on 1/1/2013: Cost: $100.00 BASEBALL: Ages 7 through 10 (age on 5/1/2013): Cost: $100.00 SOFTBALL: Ages 11 through 18 (age on 1/1/2013): Cost: $125.00 BASEBALL: Ages 11 through 18 (age on 5/1/2013): Cost: $125.00 _________________ _________________ _________________ _________________ _________________ _________________________________________________________________ NOTE: ALL BASEBALL PLAYERS MUST WEAR AN ATHLETIC SUPPORTER ANY KNOWN MEDICAL CONDITIONS: ________________________________________________ The sole purpose of the Ardsley North Hills Athletic Association (ANHAA), a not-for-profit organization, is to provide competitive sports for the children of Ardsley/North Hills so that they may learn the ideals of sportsmanship, honesty, loyalty, courage, respect and teamwork. I herby apply for membership in the ANHAA. As a member I will be entiutled to the rights and privileges of membership as set forth in the constitution and by-laws. I, as a parent or guardian of the above named child, hereby give my approval for his/her participation in any and all activities of the ANHAA during the current season. I will furnish a certified birth certificate of the above named child upon request of the association officials. I understand that these objectivies cannot be accomplished without proper supervision and assistance. The success of the program depends on PARENT PARTICIPATION. I will do this by voluntrring for a minimum of 2 hours. Coach: ___ Assistant Coach: ___ Opening Day: ___ Field Maintenance: ___ Team Coordinator: _____ I understand that if I choose to participate as a coach or an assitant coach that I will supply all necessary information as requested by the association for a state issued background check. I assume all risks and hazards incidental to the conduct of the ANHAA’s activities and/or transportation to and from the activities. I do hereby redlease, absolve, indemnify and hold harmless the Ardsley-North Hill sAthletic Association, Administrators, Supervisors, Officers and Coaches. In case of injury to my child, I hereby waive to the extent not covered by liability or accident insurance, any claim against Ardsley-North Hills Athletic Association, Administrators, Supervisors, Officers and Coaches. In addition I assume responsibility for primary medical insurance of the above mentioned child. Parent/Guardian Signature: _________________________________________ *****************************************CLUB USE ONLY******************************************** Amount Received _______ Check # ________ Date: ______ ANHAA Board Member Initials
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