Camillus Softball & Baseball Association

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Camillus Softball & Baseball Association 2014 Travel Registration Form Check box if played in 2013

Player Information: (list multiple players for siblings only) Player 1: Player 2: Player 3: Player 4:

________________________________________ ________________________________________ ________________________________________ ________________________________________

Age: Age: Age: Age:

______ ______ ______ ______

DOB: DOB: DOB: DOB:

____________ ____________ ____________ ____________

Parent’s/Guardian’s Information: Name(s): __________________________________ Email: __________________________________________ Street Address: __________________________________________ City: __________________ Zip: _________ Home Phone: __________________________ Cell: ________________________ 2014 Divisions & Fees --Baseball-CNY Modified League* (includes BR fee)

# of Players

Sub Total

___ x $200

____

Mickey Mantle (W.G. JV Travel)

___ x $225

____

Connie Mack (W.G. Varsity Travel)

___ x $225

____

House Travel Team (Ages 16-18)

___ x $180

____

___ x $20

____

I am registering for both CNY Modified and Babe Ruth Leagues I am registering for CNY Modified League only

CSBA is Online! Keep up to date with all of the latest news and organization events. Visit the official CSBA website:

http://csbababeruth.org

--Additional Fees-Late Fee –if received after deadline

Make checks payable to CSBA

TOTAL DUE

*Registration amount includes fee for participation in both CNY Modified League and CSBA Babe Ruth League

Liability & Waiver: I/We, the parents or guardians of the player in the CSBA baseball/softball program named above give my/our permission for his participation in all league activities and do hereby waive, release the CSBA, and anyone affiliated with it from all activities or claims arising out of injury to my/our child. The medical insurance policy carried by the parent/guardian is primary.

Parent/Guardian Signature: ___________________________ Date: ________ Registration: Place: Shove Park Dates: 2/25/14 6pm-8pm 3/06/14 6pm-8pm 3/08/14 9am-12pm Or Mail to: CSBA PO Box 134 Camillus, NY 13031

League Registration Deadlines: Rookie/Cal Ripken………………… Babe Ruth…………………….………. 8U/10U/12U Softball……………. 16U Softball…………………………. Travel (CNY, C.M. & M.M.)……

Office Use Only: 3/8/14 3/8/14 3/8/14 3/8/14 5/1/14

Total Fees: $_________ Amt. Received: $__________ (Cash/Check) No: __________