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Clarington Orioles Baseball Club |
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2008 Player Registration and Consent Form |
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Registration Cost: $350 ($300 Oriole registration
and $50 uniform fee) |
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Payment Deadline: May 5, 2008 |
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(Please complete and submit registration form with
payment to your team |
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manager ASAP. Cheques can be made out to
"Clarington Baseball Club") |
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Player Information: |
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Division: |
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First Name: |
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Last Name: |
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Date of Birth: (MM/DD/YY) / /
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Birth Certificate Registration #: |
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Are you interested in playing house league as well
as Rep (Orioles) : YES NO |
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Parent/Guardian Information: |
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First name(s): |
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Last Name(s): |
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Address: |
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City: |
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Postal Code: |
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Home Phone: ( ) |
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Cell Phone: (
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Email Address: |
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If your child has not played for the Orioles in the
past, please provide a |
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photocopy of their birth certificate with this form. |
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If your child has any medical conditions that the
coaching staff should be made |
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aware of please indicate here. (i.e.: allergies,
asthma, medications, etc..) |
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I, the undersigned parent or guardian of
______________________ (player) |
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hereby gives consent for him/her to play for the
Clarington Orioles Baseball Club. |
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The player, parents and /or guardian hereby releases
the Clarington Orioles |
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Baseball Club from any and all claims arising from
the involvement in the activities |
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of the Clarington Orioles or any liabilities or
claims pertaining to the players of |
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the Clarington Orioles. |
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______________ |
______________________________ |
__________________ |
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Date |
Signature of parent / guardian |
Signature of Player |
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I give the Clarington Orioles the authority to
publish my daughter/son‘s picture |
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on the Clarington Orioles website. YES NO |
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…please fill out and an Oriole representative will
authorize and return it to you |
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Children's Fitness Tax Credit / Official Receipt (16
yrs or younger) |
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Clarington Orioles |
Child's Full Name: |
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P.O. Box 475, |
Child's Year of Birth: |
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Bowmanville, ON, |
Name/Description of Eligible Program: Clarington
Orioles Baseball Club |
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L1C 3Z2 |
Program Cost: |
$350 |
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(Clarington Baseball Club Inc) |
Payment Date: |
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(www.claringtonorioles.org) |
Total Amount Received: |
$350 |
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Amount Eligible for Children's Fitness Credit: |
$300 |
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Date Issued: |
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Authorized Signature: |
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