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THE OFFICIAL HOME OF

CHEMAINUS & DISTRICT BASEBALL

CDBA Board Child Registration

Player First name*

Player Last name*

Player Phone # (If Applicable)

Player Email (If Applicable)

Jersey Size*

Gender*

Birthday*

Allergy & Medical Information (n/a if none)*

Home Address:

House Number*

Street Name*

City*

Postal Code*

Parent(s)/Guardian(s) information:

Parent/Guardian 1 Full Name*

Parent/Guardian 2 Full Name

Parent/Guardian 1 Phone#*

Parent/Guardian 2 Phone#

Parent/Guardian 1 Email*

Parent/Guardian 2 Email

Chemainus & District Baseball Merch (Addons):

Hoodies will be ordered after registration closing and available at the start of the season.

Youth Hoodies:

Adult Hoodies:

Chemainus & District Baseball Merch

Small YOUTH HoodieCA$55

Chemainus & District Baseball Merch

Small ADULT HoodieCA$55

Chemainus & District Baseball Merch

Medium YOUTH HoodieCA$55

Chemainus & District Baseball Merch

Medium ADULT HoodieCA$55

Chemainus & District Baseball Merch

Large YOUTH HoodieCA$55

Chemainus & District Baseball Merch

Large ADULT HoodieCA$55

Chemainus & District Baseball Merch

XL ADULT HoodieCA$55

Chemainus & District Baseball Merch

XXL ADULT HoodieCA$55

Which division is your child registering for?:*

4-5 Blast Ball

7U T-Ball

9U Tadpole

11U Mosquito

13U PeeWee

15U Bantam

18U Midget

Important details:

Proof of player age*

I understand that a volunteer & a uniform cheque is required at uniform pickup. *

I understand that two concession shifts are required to fullfill the volunteer shifts. *

I have read and signed the BC Minor Baseball Waiver *

I have read the Photo Consent & Player Release Form *

Signature*

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