Registration Form - Winter Clinics

REGISTRATION FORM

*Name:
*DOB (Date of Birth):
*Medicare Card Number:
*Sex:          
*Address
*City:          
*Postal Code
*Parent's Name (1)
Parent's Name (2)
*Cell Phone (Parent 1)
Cell Phone (Parent 2)
Phone Number (Home)
Phone Number (Work)
*Email Address
*Do you consent to allowing DABA to use your child's photo in DABA promotional material and/or publications (ie.: Website, Facebook, Instagram, etc.)?
Yes No

THE PROGRAM

Information: Our winter clinics offer an opportunity to continue playing baseball throughout the winter months. These clinics focus on striking the right balance between skill development (with many drills aimed at improving hitting, throwing, fielding, etc.) and fun baseball games.

Schedule
Atom: January 18th, 25th

February 1st, 8th, 15th, 22nd, 29th
March 7th, 14th, 21st, 28th
April 4th
From 11h00-12h30 at École Dollard-des-Ormeaux (5 Rue Anselme Lavigne, Dollard-des-Ormeaux, QC H9A 1N4)

Mosquito: January 18th, 25th

February 1st, 8th, 15th, 22nd, 29th
March 7th, 14th, 21st, 28th
April 4th
From 12h45-14h15 at École Dollard-des-Ormeaux (5 Rue Anselme Lavigne, Dollard-des-Ormeaux, QC H9A 1N4)

PeeWee: January 18th, 25th

February 1st, 8th, 15th, 22nd, 29th
March 7th, 14th, 21st, 28th
April 4th
From 15h30-17h00 at École Dollard-des-Ormeaux (5 Rue Anselme Lavigne, Dollard-des-Ormeaux, QC H9A 1N4)

Bantam: January 11th, 18th, 25th

February 1st, 8th, 15th, 22nd, 29th
March 14th, 21st, 28th
April 4th
From 20h00-21h30 at Le Club Dome (3000 rue Edmond, Kirkland, QC H9H 5J5)

Midget: January 11th, 18th, 25th

February 1st, 8th, 15th, 22nd, 29th
March 14th, 21st, 28th
April 4th
From 20h00-21h30 at Le Club Dome (3000 rue Edmond, Kirkland, QC H9H 5J5)

REMINDER: Until DABA obtains all registration fees, a player may not partake in any DABA activities.

*PLEASE CHOOSE ONE OF THE FOLLOWING PROGRAMS ACCORDING TO BIRTH YEAR:

Atom (2011-2012)
Mosquito (2009-2010)
PeeWee (2007-2008)
Bantam (2005-2006)
Midget (2002,2003,2004)

**** All registered Mosquito and PeeWee aged players are invited to weekly pitching clinics between 14h30-15h30, included in the price of your registration. ****

PROGRAM COST
 
$

AGREEMENT

I, the parent or guardian of the above-named registrant, hereby give my approval to his or her participation in the DABA program. I agree that players will be assigned to groups at the discretion of DABA. I will assume all risks and hazards to the registrant including transportation to and from the activities, whether on a baseball field or elsewhere. I do hereby waive, release, absolve, indemnify and agree to hold harmless DABA and all its volunteers, officials and affiliates for claims arising out of an injury to the registrant, whether the result of negligence or for any other cause.



Payment Method:

  • Pay by
  • Pay by Cheque