(please fill out separate form for each student) AGE GROUP
CANA AN BAP TIST CHURCH // 5409 BAUMGARTNER ROAD - ST. LOUIS, MO 63129
• Fun, christian-based environment where players are encouraged to do their best.
• PRACTICES BEGIN WEEK OF: April 24, 2017 • PRACTICE NIGHTS: Monday / Tuesday / Thursday
• Ages Pre-K(4-5yrs) to 12th grade •$ 40.00 per player—includes t-shirt, trophy and snack after every game.* $20.00 per player (Canaan Members)
• Games begin Saturday, May 6, 2017 and go through Saturday, June 24, 2017. INFO: Gary Bond at 314.640.7530, [email protected] — OR — [email protected]
•R egistration deadline is April 7, 2017. *Late registration increases to $50/player. Late registration for Canaan Members is $30/player.
(please fill out separate form for each student) AGE GROUP (The age groups listed below may be changed based on the number of kids signed up in age group): 4, 5 and K (pre-K & K) – T-BALL 1st, 2nd, and 3rd grade co-ed SOFTBALL team 4th, 5th, and 6th grade co-ed SOFTBALL team 7th–12th grade co-ed SOFTBALL team Child’s name:
Grade
Address:
M/F
DOB
Zip:
T-shirt size: YOUTH: Small 6-8 Medium 10-12 Large 14-16 ADULT: Small Medium Large XL XXL
XXXL
Skill Level: Beginner Advanced
Church Affiliation
Mother’s Name
Phone:
E-mail:
Father’s Name
Phone:
E-mail:
Special Request (optional):
PIck 2 nights of practice availability: Monday Tuesday
Thursday
I’d like to volunteer as: Coach Assistant Coach (Shirt size: S M L XL XXL XXXL ) (Please make checks payable to: Canaan Baptist Church) *Program fees must be paid prior to your child being placed on a team. Scholarships available. I will be responsible for my child’s medical costs due to accident or illness. I will hold Canaan Baptist Church and its directors, officers, employees, volunteers and other agents harmless for incidents that may arise from participation in its programs and activities, realizing that there are risks in these activities.
Parent’s Signature Date OFFICE ONLY: Payment received: YES NO
Amount:
CK #
Cash: YES NO
• Fun, christian-based environment where players are encouraged to do their best.
• PRACTICES BEGIN WEEK OF: April 24, 2017 • PRACTICE NIGHTS: Monday / Tuesday / Thursday
• Ages Pre-K(4-5yrs) to 12th grade •$ 40.00 per player—includes t-shirt, trophy and snack after every game.* $20.00 per player (Canaan Members)
• Games begin Saturday, May 6, 2017 and go through Saturday, June 24, 2017. INFO: Gary Bond at 314.640.7530, [email protected] — OR — [email protected]
•R egistration deadline is April 7, 2017. *Late registration increases to $50/player. Late registration for Canaan Members is $30/player.
(please fill out separate form for each student) AGE GROUP (The age groups listed below may be changed based on the number of kids signed up in age group): 4, 5 and K (pre-K & K) – T-BALL 1st, 2nd, and 3rd grade co-ed SOFTBALL team 4th, 5th, and 6th grade co-ed SOFTBALL team 7th–12th grade co-ed SOFTBALL team Child’s name:
Grade
Address:
M/F
DOB
Zip:
T-shirt size: YOUTH: Small 6-8 Medium 10-12 Large 14-16 ADULT: Small Medium Large XL XXL
XXXL
Skill Level: Beginner Advanced
Church Affiliation
Mother’s Name
Phone:
E-mail:
Father’s Name
Phone:
E-mail:
Special Request (optional):
PIck 2 nights of practice availability: Monday Tuesday
Thursday
I’d like to volunteer as: Coach Assistant Coach (Shirt size: S M L XL XXL XXXL ) (Please make checks payable to: Canaan Baptist Church) *Program fees must be paid prior to your child being placed on a team. Scholarships available. I will be responsible for my child’s medical costs due to accident or illness. I will hold Canaan Baptist Church and its directors, officers, employees, volunteers and other agents harmless for incidents that may arise from participation in its programs and activities, realizing that there are risks in these activities.
Parent’s Signature Date OFFICE ONLY: Payment received: YES NO
Amount:
CK #
Cash: YES NO
