MEMBER REGISTRATION
All fields marked with * are required.  
 Login Information
 Login ID:*
6-16 alphanumeric characters
 Password:*
6-16 alphanumeric characters
 Re-type Password:*
 Registrant
 First Name:*  Last Name:*
 Chinese Name:
 Class of Year:*
*Please provide at least one phone number.
 Mobile Phone: () -  Other Telephone: () - ext.
 Email:*
 Re-type Email:*
 Unit-Street No.:*
 Street:*
 City:*  Postal Code:*
 Would you like to become a committee member?
 Member to be registered (if same as registrant, click here to copy from above fields)
 First Name:*  Last Name:*
 Gender:*
 Date of Birth:*  Birth Certificate#:
 Files to attach
 e.g. scan images:
 
Please attach a scanned image of proof of age (Health card, Passport or Birth Certificate). If you are unable to scan, please make a photocopy and mail it to us.
 Telephone Res: () -  Telephone Other: () - ext.
 Email:
 Unit-Street No.:
 Street:
 City:  Postal Code:
 Returning Player?*
 Also apply for:   Additional payment will be required after approval.
 Release Year: (for OBA Rep team players only if applicable)
 Profession/Expertise:
 Product: Total:
 Player Emergency Contact

 Name of Contact :

Contact Phone: ( ) -
 Release and Discharge (Please Read Carefully and Sign Below)
In consideration of accepting the above-mentioned person, I grant him/her permission to participate in the ---- Minor Baseball Association (-MBA) program(s). For the same consideration, I hereby release and forever discharge the ---- Minor Baseball Association, its Officers, Directors, Conveners, Coaches, Umpires or other Officials and the Town of ---- from all claims, demands, damages, actions or causes of action arising or to arise by any reason because of my son's/daughter's participation in any -MBA program, in this or any successive year(s), including (but without limiting the generality of the foregoing) any and all dental and medical bills and further of and from all claims or demands whatsoever in law or in equity which I, my heirs, executors, administrators or assignors can, shall or may have by reason aforesaid.
 Disclaimer
I further agree to abide by the rules, regulations and bylaws of the -MBA, and consent to the use of any and all private information herein provided in accordance with the Personal Information Protection and Electronics Documents Act in this year or any successive years of participation.

  Once we have received payment you will be sent an email notification indicating that you have been registered.
 
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