Académie de Baseball de l'Outaouais

O.B.A.
Registration Form

* Mandatory fields
Player's last name:
 *
Player's first name:
 *
Date of birth:
/ / *
Medical conditions (if any):
Address:
 *
City:

*

Postal Code:
Home phone:
 *
Office phone:
Cellular phone:
Name (mother):
Name (father):
Email:
 *


Select programs to register for:
     Program 1:
Winter 2009/2010
Cost: 250$
     Program 2:
Spring training camp 2010
Cost: 175$
     Program 3:
Batting cage 2010
Cost: 50$
     Program 4:
Pitching 2010
Cost: 100$
     Program 4B:
Catching 2010
Cost: 50$
     Program 5:
4-7 yr old camp 2010
Cost: 100$
     Program 6:
Select Baseball 2009/2010
Cost: 600$

Please select a payment method:


DISCLAIMER/WAIVER

I (parent's name) * ,

Understand and accept that the administrators/trainers of the Outaouais Baseball Academy will not be held responsible in any way for personal injury to my child, or damage to or loss of personal property and I release them from all claims or liabilities of any kind arising out of my child’s participation in the activities of the academy even if there is perceived negligence or carelessness on the part of the academy or one of it’s trainers/administrators.

By submitting this form I accept the preceding disclaimer/waiver.