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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:__________________________________________________
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