WALLACEBURG MINOR BASEBALL ASSOCIATION
REGISTRATION FORM
Please print out and complete the form below and mail to:
Please include a cheque or money order made payable to WMBA
WALLACEBURG MINOR BASEBALL ASSOCIATION
P.O.BOX. 20016 JAMES ST.
WALLACEBURG, ONTARIO
N8A 5G1
Or feel free to email us for more information
wallaceburgmba@hotmail.com
__________________________________________________________________________________________
REGISTRATION FORM
$60.00 per person or 150.00 for a family of 3 or more
Surname: _____________________________
First Name: ____________________________
OBA Number: ____________________________
Address: _______________________________________________________Postal Code: __________
Phone #: _____________________ Fax#: __________________ Email: _____________________________
Parent/Legal Guardian: _______________________ Phone Number _________________
Relationship to player: ________________
Date of Birth: ______________________
Are you interested in travel? ___ Yes ___ No
