aseball LNDB 2008
The voluntary interest you?

Form of inscription summer 2008
"Baseball LNDB"(One form by player)
No limite date for inscriptions
COST:    For the 5-6 yrs old: $80
For the 7-8 yrs old: $120
For the 9-10 yrs old: $120
For the 11-12 yrs old: $120
For the 13-14 yrs old: $120
For the 15-16 yrs old: $120
For the 17-18 yrs old: $160
For the Challenger 5+ yrs old: $25

Paid by cheque to: LNDB Baseball
Mail to: L.N.D.B. Baseball 
  3095 boul. Rome 
  Brossard, Qc 
  J4Y 1R2 
Choose a category: 5-6 yrs(T-ball/soccer) 7-8 yrs(T-ball) 9-10 yrs

11-12 yrs    13-14 yrs    15-16 yrs    17-18 yrs    Chal. 5+ yrs

Name of player:

Address:

City:

Postal code:

Phone number:

Birthday:

Sickness insurance number:

Servicarte number with expiration date:

Your address of electronic mail:

Name of the mother:

Phone of the mother(home and/or work):

Name of father:

Phone of father(home and/or work):

Inter-cities team (11-12 yrs old, 13-14 yrs old, 15-16 yrs old)
I will be part of the Inter-cities team: YES    NO   
An additionnal charge is requested to be part of the Inter-cities team
I would like to give my time as a:
Umpire (Parents are welcomed)
Scorekeeper
I will do the training
The umpires and scorekeepers will be paid
Comments: