MIDWAY BASEBALL ASSN.        A NON-PROFIT ORGANIZATION

Registration Form for Pinto Ages 6-7-8 by April 30, 2012

LAST NAME:	PHONE #:
ADDRESS:	ZIP CODE:
E-MAIL ADDRESS:

CHILD NAME	M/F	BIRTH DATE	MIDWAY USE ONLY

Minimum deposit of $75 per child.  There will be a late fee of $50.00 if fees are not paid by March 4, 2012.                                                 ALL FEES ARE NON-REFUNDABLE.

Pinto Registration                           # of children ___________                                     at $175.00                ________________

 

Family Deposit Fee to be refunded upon completion of Family Obligation.

 

The Family Obligation is 8 hours of volunteer work for the First child and 4 add'l hours

per child. This work includes Concession Work, Field Work or any other approved work.  

 

TOTAL  # OF VOLUNTEER HOURS REQUIRED TO GET REFUND

 

1ST CHILD						$ 60.00
2ND CHILD AT $20.00						$
3RD CHILD AT $20.00   (ALL OTHER CHILDREN FREE)						$
TOTAL FAMILY DEPOSIT FEE								$

                                                                                                                                                

Will automatically forfeit obligation fee                               YES            or            NO    

 

TOTAL REGISTRATION FEES                                                                                                                                     _______________  

 

MONEY PAID:                   Cash                                                                                                                                      _______________                                                           Check# _____________                                                                                                       _______________ BALANCE DUE:                                                                                                                                                               _______________     

    

Proof of Age checked  _____ Birth Certificate  _____ State ID  _____ Passport  _____

 

FALSIFICATION OF AGE OR REFUSAL TO PLAY FOR MANAGER WHO DRAFTS YOUR CHILD WILL RESULT IN FORFEITURE OF FEES AND IMMEDIATE EXPULSION FROM LEAGUE.  I AGREE TO THESE TERMS.

SIGNATURE OF PARENT/GUARDIAN __________________________________________________ DATE __________________

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