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METRO MONCTON SLO-PITCH LEAGUE
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SOFTBALL NEW BRUNSWICK INC

2004 MEMBERSHIP / INSURANCE FORM

 

1. Registration fee: $ 60.00 per team                                           

2. Make cheque payable to:  Softball New Brunswick Inc.

3. Submit this form and fee to the Regional Director to receive the Softball Canada Rulebook and the S.N.B. Inc. INFO books (Includes Constitution and ByLaws)

MEMBERSHIP BENEFITS

- Accident and liability insurance with coverage from 1 April to 31 March 2005. Details in INFO.

- Right to compete in the provincials upon paying the appropriate fees.

- Some Provincials lead to Nationals and Eastern Canadians

- Officials and Coaching Programs

- Pitching and Skills Clinics

- Calendar of Events

 

NAME OF TEAM:   __________________________________________

Gender (check one): Male:__________ Female:__________ CoEd________

Category (Check One): Fast Pitch________ SloPitch_______ Orthodox_______

Minor: (Check one) Major: (Check one)

Midget________PeeWee________ Senior_________Junior_________

Bantam_______Squirt__________

Intermediate________Competitive_______Recreation________

Orthodox A_______B_______C_______D_______E_______

SloPitch Masters 35+_______Masters 40+________

CONTACT INFORMATION

Name:_____________________________________________________

Position with Team:___________________________________________

Mailing Address: Street ________________________________________

City / Town _________________________________________________

Province:________________________Postal Code__________________

Telephone: Home _____________Work___________Fax_____________

Region _______ e-mail _______________________________

INSURANCE FORM (Please fill out players names)

Players Name:

1. _____________________________   11._______________________________

2. _____________________________   12._______________________________

3. _____________________________   13._______________________________

4. _____________________________   14._______________________________

5. _____________________________   15._______________________________

6. _____________________________   16._______________________________

7. _____________________________   17._______________________________

8. _____________________________   18._______________________________

9. _____________________________   19._______________________________

10.____________________________   20._______________________________

Coach / Manager:__________________________________________________

Coach / Manager:__________________________________________________