LAA 2019 Baseball Registration Form
Welcome to the Lopatcong Athletic Association's 2019 Baseball Season.
Registration Deadline: **FEBRUARY 28, 2019**

REGISTRATION FEES:
T-ball (Kindergarten): $55.00
Advanced Rookie, Minors, Majors, Juniors: $85.00

**$15.00 Late Fee will be added after this date, IF SPACE PERMITS**
This form along with the registration fee must be completed and paid to complete the registration process.

**The following forms are REQUIRED and available on the LAA Website/Baseball **
Please fill out and return to your Baseball Coach.
1. SPORT-PARENT CODE OF CONDUCT
2. MEDICAL TREATMENT AUTHORIZATION AND LIABILITY RELEASE

Divisions:
Rookie - Kindergarten
Advanced Rookie - 1st & 2nd Grade
Minors - 3rd & 4th Grade
Majors - 5th & 6th Grade
Juniors - 7th & 8th Grade

**PAYMENT MUST BE MADE UPON REGISTRATION**
PayPal is available on the LAA Website/Baseball
Checks Made Payable to: Lopatcong Athletic Association

Email address *
Player's Name: *
Your answer
Birth Date: (MM/DD/YYYY) (Make sure to put the correct year) *
MM
/
DD
/
YYYY
Current Grade Level: *
Gender: *
Home Address: *
Your answer
City: *
Your answer
Phone Number: *
Your answer
Relationship to Participant: *
Parents Name *
Your answer
E-mail *
Your answer
Cell Phone *
Your answer
Emergency Contact Name & Phone Number *
Your answer
Allergies or Medical Conditions? *
If Yes, Please List:
Your answer
Registration Fee: *
T-Shirt Size *
Interested in Coaching? *
Name & Contact Info (If answered YES to above question):
Your answer
Payment Method: **Payment Must Be Received By **FEBRUARY 28, 2018** or Your Registration Will Be VOID** *
PayPal E-mail:
Your answer
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