Mattawa Minor Baseball Registration 2016
Mattawa Ball Field
Name:
Age:
Allergies:
Medication:
Phone Number:
Birth Date:
Emergency Contact Information, Name:
______Phone Number:
Child & Youth Divisions Monday – Wednesday:
All divisions are co-ed.
___$30
Blast Ball
Ages 2 – 3
Mondays @ 5:15 – 6:00 P.M.
(parent(s) must participate with child)
___$30
T-Ball
Ages 4 – 5
Tuesdays @ 5:00 – 6:00 P.M.
(parent(s) may be asked to assist)
___$30
Squirts
___$30
Juniors/Intermediate Ages 9 – 14
T-Shirt Size:
Ages 6 – 8
Wednesdays @ 5:00 – 6:00 P.M.
Wednesdays @ 6:00 – 7:00 P.M.
Youth Sizes: XS/S/M/L/XL______
Method of Payment:
Cash
Cheque
Adult sizes: S/M/L/XL______
Interact (@ Town Hall)
Amount Paid: ________
Customer Signature:
Date Payment Complete:
Supervisor Signature:
Date:
If you are able to commit to Coaching Ball Hockey for this 6-week program, please provide us with
your contact information below. Please do be advised that ANY volunteers must obtain a vulnerable
sector police records check.
Name:
Contact Number: