2021 Registration (Tillsonburg Minor Baseball)

Print 2021 Registration

Player to be Registered

To pay using etransfer follow these instructions: email: [email protected]

Last Name^*
First Name^*
Gender^*
MaleFemale

Date of Birth^*

Open the calendar popup.

Format MM/DD/YYYY

Email Address^*

Example: [email protected] Your submission will be sent to this address.
Birth Certificate Registration Number^*

Example. 20##-##-######
Street Address^*
Town^*
Postal Code^*
Phone Number ^*

Example: ###-###-####
Phone Number 2

Example: ###-###-####
Medical Concerns

Any information your coach should be aware of such as any allergies
Division^*
Rep^*
YesNo
Interested in trying out to play Rep?
Played in 2019 or 2020?^*
YesNo
Uniform Shirt Size^*
Are you interested in playing girls Fastball?
yesno
Check All That Apply
Notes

Any additional information not captured above

Team Coaching

The minor baseball program relies on volunteers to coach our teams as without coaches, there is no program. Please consider volunteering to coach and support our youth.

I am interested in Coaching^*
YesNo
Last Name
First Name
Email Address

Example: [email protected]
Phone Number

Example: ###-###-####
Division
Uniform Shirt Size

USE OF EMAIL ID:
The email id(s) provided above will be used for player and/or coach communication by TMBI and coaches throughout the baseball season. Please notify the TMBI Registrar via the TMBI website (www.tmbi.ca) to have an email id removed from the mail list.

I agree to the terms and conditions stated above^*

Parent / Guardian Consent

Over the course of the baseball season, player names (including team lists) are included on the TMBI website, public TMBI displays and possibly newspaper publications. Additionally, throughout the baseball season, individual and team pictures and videos are taken at various TMBI events (and may be used beyond the current year). Your permission is requested to use your child's full name and photographs/videos as follows:

In TMBI publications and displays, including the TMBI website, facebook, instagram, twitter^*
YesNo
In newspaper publications and in public displays^*
YesNo
Photos of baseball activities that may be included in TMBI displays., including facebook, twitter, instagram and TMBI webpage^*
YesNo
Photos or videos of baseball activities that may be posted on the TMBI website, facebook, twitter, instagram^*
YesNo
Photos or videos of baseball activities that may be posted on social media sites (eg: Facebook, twitter, instagram and facebook^*
YesNo
Baseball event photos, tapings and/or interviews by the news media.^*
YesNo
Parent/Guardian Name^*

Date of Consent^*

Open the calendar popup.

RELEASE AND DISCHARGE (please read carefully)
In consideration of accepting the above-mentioned person, I grant him/her permission to participate in the Tillsonburg Minor Baseball program(s). For the same consideration, I hereby release and forever discharge Tillsonburg Minor Baseball Inc. (TMBI), its Officers, Directors, Convenors, Coaches, Umpires or other Officials and the Town of Tillsonburg from all claims, demands, damages, actions or causes of action arising or to arise by and reason because of my son's/daughter's participation in any Tillsonburg Minor Baseball program, in this or any successive years(s), including (but without limiting the generality of the foregoing) any and all dental and medical bills and further of and from all claims or demands whatsoever in law or in equity which I, my heirs, executors, administrators or assignors can, shall or may have by reason aforesaid.

I agree to the terms and conditions stated above^*

Rowan's Law

ROWAN'S LAW: Rowan's Law (Concussion Safety), is mandatory for sports organizations to: ensure that athletes under 26 years of age,* parents of athletes under 18, coaches, team trainers and officials confirm every year that they have reviewed Ontario's Concussion Awareness Resources. This Form MUST be completed by all players, coaches and umpires. To find Rowan's Law on our website please go to our home page-links, Rowan's Law https://tinyurl.com/y4bjsnlf

Yes I have Read Rowan's Law which must be completed by all players, coaches and umpires and can be found on the homepage under links^*
yes I have read Rowan's Law
https://tinyurl.com/y4bjsnlf

Parent Code of Conduct

Please Read the Parent Code of Conduct found under Rules-on our homepage then click box to confirm that you have read and understood this form.