| Login ID:*
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| Password:*
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| Re-type Password:*
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| First Name:*
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Last Name:*
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| Chinese Name:
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| Class of Year:*
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*Please provide at least one phone number.
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| Mobile Phone:
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()
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Other Telephone:
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()
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ext.
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| Email:*
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| Re-type Email:*
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| Unit-Street No.:*
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| Street:*
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| City:*
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Postal Code:*
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| Would you like to become a committee member?
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| Committee Roles:
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Member to be registered (if same as registrant, click here to copy from above fields)
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| First Name:*
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Last Name:*
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| Gender:*
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| Date of Birth:*
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Birth Certificate#:
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| Based on birth date provided above, the division supposed to be
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Files to attach
e.g. scan images:
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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.
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| Telephone Res:
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()
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Telephone Other:
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()
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ext.
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| Email:
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| Unit-Street No.:
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| Street:
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| City:
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Postal Code:
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| Returning Player?*
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| Also apply for:
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Additional payment will be required after approval.
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| Release Year:
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(for OBA Rep team players only if applicable)
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| Profession/Expertise:
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| Product:
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Total:
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Player Emergency Contact
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Release and Discharge (Please Read Carefully and Sign Below)
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| 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.
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Disclaimer
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| 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.
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