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Scsbsa 2017 Regform 011317

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ST.

CLAIR SHORES
BASEBALL SOFTBALL ASSOCIATION
P.O. Box 314 St. Clair Shores, MI 48080-0314 Phone 586-435-5442

Register Online at: www.scsbsa.com


(Please Print)

Player Name: __________________________________________________________________________________ Gender: M

Address: ___________________________________________________________________________________________________
City: _______________________________________ Zip Code: _______________ Phone: (______) _________________________
Email: ________________________________________________________________ Date of Birth: _________________________
*Must Provide Copy of Birth Certificate (If not previously provided)
For Team Selection: Number of years Playing Experience _________ Game Experience at: Pitcher / Catcher (Please Circle)
Signature of Parent or Guardian 1: ______________________________________________________
Name of Parent or Guardian 1 (Please Print): _________________________________________________
Parent or Guardian would like to:

Manage

Coach

Volunteer (Help with Opening Day & Other Events) (Please Circle)

Name of Parent or Guardian 2 (Please Print): ______________________________________________

**We will be having a Bowling Fundraiser on Friday June 16th at Harbor Lanes, 25419 Jefferson St. Clair Shores**
Check in @ 7:15pm, Bowling Starts @ 8pm (18 & Older)
$20 Per Bowler. Includes 2 Games (9 pin No Tap) Shoes, 2 Slices of Pizza & Pop. (Cash Bar) 50/50, Raffles
For More Details: www.SCSBSA.com

St. Clair Shores Residents Only Family Plan

Note

After Two (2) Paid Recreation Players, 3rd Sibling (youngest) Plays FREE
**Please call SCSBSA for Coupon Code before Registering Online**

Walk In Registration Dates


Feb 22nd & March 1st, 6pm to 9pm at Buffalo Wild Wings
23117 Harper Ave. (Just north of 9 Mile) March 11th & 18th
10am to 2pm at Kyte Field House, On Harper South of 14 Mile

Division is determined by the players Age - May 1st for Boy


And January 1st for Girls
Tentative Draft Dates (Team Selection)
Ages 12 and Under could tentatively take place the week of
April 10, 2017. Please DO NOT call before that week.
Ages 13 and above - Drafts later due to MHSAA Rules.

2017 PLAYER FEES Please Check One (Not for Boys Federation or Girls Travel Fast pitch)
Age
Boys
Girls
Resident
Non-Resident
4,5 & 6 Years Old
T-Ball
T-Ball
$100.00
$105.00
7-8 Years Old
Pinto
8 & Under
$110.00
$115.00
9-10 Years Old
Mustang
10 & Under
$130.00
$135.00
11-12 Years Old
Bronco
12 & Under
$140.00
$145.00
After April 1 Please add a $10.00 Late Fee for Above Groups
13-14 Year Olds
Pony
14 & Under
$160.00
$165.00
*15 Years and Up
Colt/Palomino
16 / 18 & Under
$185.00
$190.00
All Players receive: Jersey, Pant, Hat or Visor. Colt / Palomino players will have an upgraded uniform. (Cost reflected in fee)
**Colt / Palomino & Girls 16u/18u players will be placed on a waiting list** (Already formed Teams Welcome in these Divisions)
**PAYMENT**
(Select One)

Enclosed Check or Money Order


Payable to SCSBSA

Square Payment

Card Number: ____________________________________________________________________________


Name (As it appears on card): _______________________________________________________________

Official Use Only


Birth Certificate Verified
Yes

No

Paid

Check #

Expiration (Month / Year): ________ / ________ 3-Digit Security Code (On back of card): _____________
I have read and understand that SCSBSA reserves the right to use photographs taken of my child throughout the season and are only to be
used as publicity, illustration, advertising and Web content.
Mail this completed form with your check if applicable to: SCSBSA P.O. Box 314, St. Clair Shores, MI 48080-0314
REFUND POLICY: There will be a $25.00 administrative fee for all refunds.
NO REFUNDS AFTER THE START OF THE TEAMS FIRST PRACTICE
Register Early to Guarantee Placement on a Team. Any questions regarding registration Email: scsbsareg@gmail.com In compliance with Americans Disabilities
Act, for special assistance for youth Baseball/Softball check here ___ As the Parent/Guardian of the above named player, I agree that it is ultimately my
responsibility to return any equipment used back to the SCSBSA. I agree to pay for all equipment not returned by August 1st.
I understand that all equipment will be considered new for billing purposes.
(Rev 01-13-17)

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