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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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