2017 Boys and Girls Registration
Printing courtesy of: TAP Business Systems 1301 E Jackson St – Pana, IL 62557 217-562-5027
Stay informed
2017 Boys and Girls Registration T-Ball (boys & girls) Ages 5-6
www.pybso.com
T-Ball and Boys Baseball eligibility is determined by player’s age as of April 30. Girls Softball eligibility is determined by player’s age as of July 31.
Child’s Name: Date of Birth:
Boys Baseball Ages 7-8 Ages 9-10 Ages 11-12 (will travel) Ages 13-14 (will travel)
Male
Female
Home Address: City, State, Zip: Contact Number(s): Email: If you would like to receive informational text messages from PYBSO, a valid cell phone number and email address are required.
Girls Softball Ages 7-8 Ages 9-10 (potential travel) Ages 11-12 (potential travel) Ages 13-15 (will travel)
PRICES (per player) $35 – Ages 5-8 $45 – Ages 9-16
Player’s Shirt Size
FAMILY DISCOUNTS 2 players = $10 off 3 players = $20 off 4 players = $30 off
Youth XS 4-5 Youth SM 6-8 Youth Med 10-12 Youth LG 14-16
Adult SM Adult Med Adult LG Adult XL
Registrations are due by March 1st, 2017. FEES ARE DUE AT THE TIME OF REGISTRATION Mail to: PYBSO - PO Box 81 - Pana, IL 62557 or Return to School List any physical/medical conditions we should know about your child:
I/We, the parents of the above child, hereby give my/our permission and approval to his/her participation in any and all activities during the current season. I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless the Pana Youth Baseball Softball organizers, sponsors, supervisors, officials, and persons transporting the above named child, except to the extent, and in the amount covered by accident or liability insurance. Parents are responsible for transportation. Parent/Guardian: Signature
Print
I am interested in being: Head Coach Assistant Coach Concession Stand Helper Umpire PYBSO use only Payment Date:
Name (please print) Phone Email
Cash Amount: Received by:
Check Amount:
Check #:
Stay informed
2017 Boys and Girls Registration T-Ball (boys & girls) Ages 5-6
www.pybso.com
T-Ball and Boys Baseball eligibility is determined by player’s age as of April 30. Girls Softball eligibility is determined by player’s age as of July 31.
Child’s Name: Date of Birth:
Boys Baseball Ages 7-8 Ages 9-10 Ages 11-12 (will travel) Ages 13-14 (will travel)
Male
Female
Home Address: City, State, Zip: Contact Number(s): Email: If you would like to receive informational text messages from PYBSO, a valid cell phone number and email address are required.
Girls Softball Ages 7-8 Ages 9-10 (potential travel) Ages 11-12 (potential travel) Ages 13-15 (will travel)
PRICES (per player) $35 – Ages 5-8 $45 – Ages 9-16
Player’s Shirt Size
FAMILY DISCOUNTS 2 players = $10 off 3 players = $20 off 4 players = $30 off
Youth XS 4-5 Youth SM 6-8 Youth Med 10-12 Youth LG 14-16
Adult SM Adult Med Adult LG Adult XL
Registrations are due by March 1st, 2017. FEES ARE DUE AT THE TIME OF REGISTRATION Mail to: PYBSO - PO Box 81 - Pana, IL 62557 or Return to School List any physical/medical conditions we should know about your child:
I/We, the parents of the above child, hereby give my/our permission and approval to his/her participation in any and all activities during the current season. I/We do hereby waive, release, absolve, indemnify, and agree to hold harmless the Pana Youth Baseball Softball organizers, sponsors, supervisors, officials, and persons transporting the above named child, except to the extent, and in the amount covered by accident or liability insurance. Parents are responsible for transportation. Parent/Guardian: Signature
I am interested in being: Head Coach Assistant Coach Concession Stand Helper Umpire PYBSO use only Payment Date:
Name (please print) Phone Email
Cash Amount: Received by:
Check Amount:
Check #:
