BIMF Registration
Paying your membership fees AND completing this form will register you for the 2019 BIMF (Burlington Intermediate Men's Fastball League) season.

There are 4 sections to this form:
- About You
- Health Information
- Playing Preferences and
- Payment and Waiver.

$200 for 2019 season

All information is kept secure and confidential. (http://www.google.com/intl/en/policies/)

By completing this form, you agree to abide by all policies as put forward by the BIMF.

About You
Your contact information
Name *
First and Last
Your answer
Main email address *
Used for League correspondence
Your answer
Address - Street *
What address can we contact you at?
Your answer
Address - City *
Your answer
Postal Code
Your answer
Cell Phone number *
for sending text messages
Your answer
Alternate phone
Your answer
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