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THE OFFICIAL HOME OF
CHEMAINUS & DISTRICT BASEBALL
Coach Registration
First Name
Last Name
Email
Phone
Birthday
Gender
Emergency Contact Name
Emergency Contact Phone Number
Allergy & Medical Information
If you have a player to register please complete this section.
Name of Player 1
Player 1 Birthday
Player 1 Gender
Player 1 Allergy & Medical Information
Player 1 League
Blastball
7U T-Ball
9U Tadpole
11U Mosquito
13U PeeWee
15U Bantam
18U Midget
Name of Player 2
Player 2 Birthday
Player 2 Gender
Player 2 Allergy & Medical Information
Player 2 League
Blastball
7U T-Ball
9U Tadpole
11U Mosquito
13U PeeWee
15U Bantam
18U Midget
I have read and signed the
BC Minor Baseball Waiver
I have read the
Photo Consent & Release Form
Your Signature
Clear
Register
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