Dom Aitro Baseball League Registration
Please Fill Out This Form Below (Any Questions Contact
Email address *
Child's Name *
Address (Street, City, Zip Code) *
Telephone # *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Age *
Parent / Guardian 1 Name *
Parent / Guardian 1 Best Phone # *
Parent / Guardian 1 Email Address *
Parent / Guardian 2 Name
Parent / Guardian 2 Best Phone #
Parent / Guardian 2 Email Address
Is Child A Returning Player *
If Child Is Returning What Team Did They Play On Or What Was Coach's Name?
Child's School
Child's Grade Level
Does Child Have A Sibling Or Close Family Member Registered At Dom Aitro? (Enter Child's Name If Yes)
I, the undersigned, parent / guardian, of the above named minor in consideration of the many and varied benefits to be conferred on said minor by the Dom Aitro League during the recreation provided, do hereby register said minor in said organization program for said organization season and do for myself and as parent / guardian of said minor forever release, acquit and discharge the said organization of all it’s members individually from any and all claims, demands, actions, and causes of actions which I or my representative may have by reason of any injury or illness which may occur as a result of said minor’s participation of said program. * I have read the above completely and carefully and with full understanding. * (Will need to sign in person as well at a later date) *
Signup Fee: Choose One *
Payment Method *
Child's Shirt Size
Clear selection
Child Pant Size
Clear selection
Any Questions Call (Enter Number Here)
Submit
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