2015 Registration Form

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.