BRAMPTON RECREATIONAL MIXED SLO-PITCH ASSOCIATION

2018 REGISTRATION FORM

Visit our website at

Please read code of conduct on our website

Name______Age:______Sex:______

Date of Birth______(insurance purposes)

Address______Home Phone ______

And Postal Code

______Business Phone ______

Email Address______

PLAYER RATINGSHIRT SIZEPITCHING

Primary pitchers should be available for most of

the season the team depends on it so if you are not available you can put down backup pitcher

[ ] 5 Excellent[ ] Medium
[ ] 4 Above Average[ ] LargeWill you be a Primary PitcherYES[ ] NO[ ] [ ] 3 Average [ ] X-Large Will you be a Backup Pitcher YES[ ] NO[ ]
[ ] 2 Fair[ ] XX-Large
[ ] 1 Never Played Before[ ] XXX- LargeWill you be a Team Captain? YES [ ] NO [ ]

Is There Someone You Wish to Play With!______

Please note this must be ONE name – and the name must match on the other person’s registration form.

IF YOUR REGISTRATION FORM IS NOT IN ON TIME YOU WILL NOT BE GUARANTEED TO PLAY WITH ANYONE BUT YOURSELF. IF CHANGES ARE MADE IT WILL BE DONE BY THE EXECUTIVE WITH THE CAPTAINS APPROVAL

PLEASE NOTE AND SIGN BELOW:

2018 Registration Fee $110.00Payable to B.R.M.S.A

NON-Brampton residents ADD surcharge of $13.50 Payable to B.R.M.S.A.

(please include with registration- total registration $123.50)

Due Date: February 18th, 2018. Late fee of $5 after March 6, 2018. No postdated cheques accepted!

**If you are interested in being a spare for Saturday and Sunday of the playoff weekend please circle YES/NO Spares will only be allowed in opposite divisions and rating will match whomever needs to be replaced. Please note spares will only be placed on teams to get them to 10 players.

Mail Registration and cheque(s) to:

B.R.M.S.A.
99 Centre Street South

Brampton, Ontario

L6W 2X9

B.R.M.S.A. shall not be held liable for any injuries that may occur during or while attending the slo-pitch games throughout the 2018 season.

With this signature you agree to the code of conduct that is available to read on our website at

______

Signature Date

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If your Team Captain has not contacted you by April 15, 2018, please contact:

Barry Blair, President 905-455-0536 orCathy Sevigny, Secretary, 905-453-1437.

** All returning players who do not send in this registration form by the due date, may register in person on a first come first serve basis at Brampton Soccer Centre-

Community Room 1

(corner of Dixie and Sandalwood)

Tuesday, March 6, 2018

**6:00 p.m-8:00 pm **