2019 Rep Registration Form (Orangeville Minor Baseball)

Print 2019 Rep Registration Form
Please complete the following form to register your child for the 2019 season
PLAYER TO BE REGISTERED
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. ENTER "NONE" if no medical concerns
DIVISION REGISTRATION
PARENT / GUARDIAN INFORMATION
This section to be completed by parent or guardian
  1. Example: ###-###-####
  2. Example: ###-###-####
  3. Example: [email protected] Your submission will be sent to this address.
  4. Example: [email protected] Your submission will be sent to this address.
  5. If yes, we will provide you with further information at the email address provided
PLAYER EMERGENCY CONTACT
  1. Example: ###-###-####
Payment
Please send etransfers to [email protected] The security answer needs to be your players ID number. If you can't find this information please email our administrator. For cheque payments please put your players first name, last name and DOB in the memo line. For Credit Card Payments we are moving from PayPal (a US company) to Moneris (a Canadian company). Please click on Moneris for credit card payments.
  1. For cheques: Please make them payable to "Orangeville Minor Baseball Association" and put your players first name, last name and DOB on the memo line. Please include a copy of your printed online registration form with your cheque. Mail to: OMBA 475 Alder Street Orangeville ON L9W 5H6
  1. Release of Liability

    I, the parent/guardian of the named candidate(s) for a position on an Orangeville Minor Baseball team, hereby give consent to participate in any and all Orangeville Minor Baseball activities. I assume all risk and hazards incidental to such participation including transportation to and from the activities. I do hereby waive, release, absolve, indemnity and agree to hold harmless the total Orangeville Minor Baseball Association, Ontario Baseball Association, the organizers, sponsors, supervisors, participants and persons transporting my child(ren) to and from activities and any claim arising out of an injury to my child(ren) or by any acts or omissions of this/these child(ren) causing damage to any property or injury to any person, whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident and liability insurance.

    There is a surcharge for cancellations, late registration and NSF Cheques. A $25 non refundable administration fee applys to all registrations. NSF cheques are subject to a $25.00 bank charge recovery fee. The late registration fee is $25 and is applicable on registrations received and/or paid after April. 
    Players must provide their own glove and batting helmet that meets the NOCSAE safety standards.
  2. DISCLAIMER
    I further agree to abide by the rules, regulations and bylaws of Orangeville Minor Baseball Association, and consent to the use of any and all private information herein provided in accordance with the Personal Information Protection and Electronics Document Act in this year or any successive years of participation.
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Printed from playbaseball.ca on Thursday, March 21, 2019 at 9:33 AM