PEMBROKE LAKES OPTIMIST

BASEBALL REGISTRATION
Parent #1 First Name Parent #1 Last Name
Parent #1 Cell Phone Parent #1 Email
 
Parent #2 First Name Parent #2 Last Name
Parent #2 Cell Phone Parent #2 Email
 
Player's First Name Player's Last Name
Age Date of Birth (mm/dd/yy)
Address  
City Zip Code
Division Experience
 
Jersey Size Uniform # (List 3 Choices)
Pant Size  
Interest in Coaching?  
Sponsorship Interest?  
I understand that league rules do not allow my child to participate on any two baseball teams within the same season.
I understand that concession duty is a mandatory parent responsibility and will not be scheduled during my child's game. Registering my child means you accept this responsibility as a parent.
I understand that NO refunds will be given after tryouts OR after my child is placed on a team.
I understand that the park is now required to collect an additional $10 fee as mandated by the city of Pembroke Pines and does not benefit the optimist.


All Comments (Including Medical)

You must submit payment & support documents to the clubhouse after completing this form.
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