GANDER MINOR BASEBALL REGISTRATION FORM Child’s Full Name ________________________________________________________ Date of Birth ______________________ MCP _______________________________ Address_________________________________________________________________ Home Phone #_________________________ Cell # ___________________________ Parent or Guardian _____________________ Work # __________________________ _____________________ Work # _________________________ Emergency Contact/Numbers: ______________________________________________ Family Doctor ____________________________ Phone # ______________________ Please Indicate any Medical Conditions we should be aware of: _______________________________________________________________________ Email Address (if you would like to receive automatic emails from GMB): __________________________________________________________ Please check the league by the age of the player T-Ball ('09/'10/'11) ________ Peewee ('02/'03) _________ Rookie ('06/'07/'08) ________ Bantam ('00/'01) _________ Mosquito ('04/'05) _________ Midget (97/'98/'99) __________ T-Shirt Size (Please circle): Youth: XS S M L XL Adult: XS S M L XL Date___________________ Executive signature_____________________ Registration Fees T-Ball: $70 first child; $60 second child; additional children free Rookie to Midget: $80 first child; $65 second child; additional child free NOTE: Families registering more than one child will pay the registration fee for the oldest child, and the second child will be charged according to his/her age group’s second child fee. Registration of multiple players must be done at the same time for discounted registration fee.
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