GREATER NIAGARA BASEBALL ASSOCIATION
  2012 REGISTRATION FORM 2012
   How to register:
     1.     Mail your registration form to : P.O. Box 641
                                                            4500 Queen St.
                                                            Niagara Falls, ON
                                                            L2E 6V5
  
     2.  Come to a GNBA registration day (see dates, times and locations on the registration web page (www.gnba.org) or the
          (Niagara Falls Review). Print out the registration form.
        
DIVISIONS



                                       T-ball- 07/08             Jr Rookieball -05/06          Sr Rookieball- 03/04         Mosquito - 01/02    
                                       Pee Wee- 99/00          Bantam-  97/98                 Midget- 94/95/96             Junior- 91/92/93            

 
Name: __________________________________________
  Address: ________________________________________
  City:  ___________________________________________
  Postal Code: _____________________________________
  Phone Number: ___________________________________        Email:_________________________________

  Date of Birth:  Year ________  Month ________ Day ________            Age _________   Division  ______________


      
Additional Info (PLEASE CHECK)

  Did you pitch last year?  Yes _____   No ______
  Do you want to be contacted for Travel Team Tryouts?   Yes ____  No ______
  PARENT INFO:  HeadCoach ______  Assistant Coach _________  Canteen helper  ________
 GNBA USE :  HOUSE LEAGUE         TRAVEL 
                 
Registration Fees

 
Early Registration :  before April 1, 2012
    1 player- T-ball  $70   Rookieball to PeeWee $175   Bantam and up $190
     Family plans-  2 players- $285   3 players- $345
 
Late Registration : after April 1, 2012
  1 player T-ball $70   Rookieball to PeeWee $200   Bantam and up  $215
    Family plans-  2 players- $310   3 players-  $370

 
  REQUESTS FOR REFUNDS MUST BE DONE IN WRITING TO YOUR CONVENOR BEFORE JUNE 1, 2012
  $25 SURCHARGE ON NSF CHEQUES
   Travel Team surcharge:  TBD (too be determined on the number of leagues the travel team is playing in for the season)
   
GNBA USE ONLY
  Date __________  Amount __________  Cheque _____Cash ___  Players _____  Exec ______   Filed _____