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WALLACEBUG MINOR BASEBALL REGISTRATION 2022
Please check the Wallaceburg Minor Baseball website and Facebook page for information regarding winter ball, tryouts and practices
https://wallaceburgminorball.ca
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Email
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Your email
Player Name
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Gender
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Male
Female
Home Address
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Your answer
Phone Number
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Your answer
Do you grant permission for photographs or videos of your child to be posted in publications, news releases or online
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Yes
No
Please list child allergies or medical conditions
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Your answer
I would be interested in helping with
Coaching (
https://docs.google.com/forms/d/e/1FAIpQLSeCaBQUPJymwk_7oRXL8P025wOLoKh9iGO-USxtaV4BZUwJWg/viewform
)
Bingo
General Volunteering
Please select the appropriate division
Little Warriors
Choose
T-Ball (Birth Year 2016 - 2018)
Fastball
Choose
U10 Girls (Birth year 2012-2015)
U12 Girls (Birth year 2010-2011)
U14 Girls (Birth year 2008-2009)
U16 Girls (Birth year 2006-2007)
Hardball
Choose
Rookie (Birth year 2013-2015)
Mosquito (Birth year 2011-2012)
Peewee (Birth year 2009-2010)
Bantam (Birth year 2007-2008)
Midget (2004-2006)
21U
Jersey Size
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Choose
YS
YM
YL
YXL
S
M
L
XL
Jersey Number: Top 3 Picks
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Your answer
Please check below to indicate your consent to the following:
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Registration Fees for t-ball players will include a baseball shirt and hat
Players are responsible for jersey, baseball pants (grey for hardball, black for fastball), a batting helmet and bat
Tournament Fees - will be responsibility of each individual team.
OBA Fee - TBD - Players selected for travel teams will be responsible for a travel fee, which is due one week after the teams are selected. (This fee will cover the cost of teams jerseys and extra umpire costs)
I am aware that I will participate in some fundraising activities put on by the Wallaceburg Minor Baseball (eg. Lottery tickets, chocolate bars, etc.)
Required
Total Owing
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Choose
T-Ball - $50
Fastball U10 Girls - $100
Fastball U12 Girls - $125
Fastball U14 Girls - $150
Fastball U16 Girls - $175
Hardball Rookie - $100
Hardball Mosquito - $125
Hardball Peewee - $150
Hardball Bantam - $175
Hardball Midget - $200
Hardball U21 - TBA
Total Paid
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Your answer
Payment by:
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E-Transfer (Send to
wmba.eft@gmail.com
) In notes please indicate player name & birth year
Paid By:
Your answer
Date Paid:
MM
/
DD
/
YYYY
I verify all information on this form is correct
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Yes
Date form is completed
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A copy of your responses will be emailed to the address you provided.
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