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Henderson TeeBall Sign Up
Ages 4 -6
Checkbox
*
Male
Female
Birthdate
MM
/
DD
/
YYYY
Age as of January 1, 2024
*
Please select
4
5
6
Grade (2023/2024)
*
Please select
Preschool
Kindergarten
1st Grade
Age Division
*
TeeBall
Child's Name
*
First
Last
First Parent/Guardian Name
*
First Parent/Guardian Relationship to Child
*
Please select
Father
Mother
Guardian
First Parent/Guardian Phone:
Please select
Home
Cell
Work
*
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-
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-
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Second Parent/Guardian Name
Second Parent/Guardian Relationship to Child
Please select
Father
Mother
Guardian
Second Parent/Guardian Phone:
Please select
Home
Cell
Work
###
-
###
-
####
Mailing Address (Street and PO Box if Applicable)
*
Street Address
City
State / Province / Region
Postal / Zip Code
Main Contact Phone #
*
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-
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-
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Email
*
Shirt Size:
*
Youth XSmall (2-4)
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Youth XLarge (18-20)
Adult Small
Adult Medium
Volunteer
I am willing to sponsor a team ($100)
I am willing to be a head coach
I am willing to be an assistant coach
I am willing to umpire
I am willing to help with concessions
TeeBall ($30)
*
$
Dollars
Sponsorship - optional ($100)
$
Dollars
Sponsor Name (if sponsoring a team)
As to be printed on tshirt
By typing your name in the space provided below, you are hereby giving permission for your child to participate in the Henderson Summer Ball and/or Teeball Program. You also understand there is no insurance available through the ball program, and you will furnish the appropriate insurance for your child if you feel it is necessary. You also assume responsibility for any injury which may occur to your child.
*
