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Registration Form 2011

 

Text Box: Parent’s Name: ___________________________        Address: _________________________________       Phone# ____________________

Other Emergency Name: ___________________________    Phone#__________________   Parent’s Signature: ________________________

Are you interested in coaching? ______    Age Level: _____________________    
   
  Coach’s Name: ________________________      Email Address: ___________________________   Cell Phone #______________________
(To eliminate phone calls most of the correspondence will be sent thru email.  Thank you!)                     Is sending text messages ok?  Y / N    

Are you currently working at the Park Carnival?  ______ yes     _______no      


Please SEND Form by MARCH 11, 2011 to Ottoville Park, P.O. Box 332 Ottoville, OH 45876
	(After March 11, 2011, apply a $10 per child late fee.)

 

Name

 

Current Grade

Birth

date

Age

Acme

Pony Leag

Boys

LL

Boys

City

Girls

A team

Girls

B team

Girls

C Team

Sugar &

Spice

T-ball

Shirt Size

(if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

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YS     YM      YL

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