Haverstraw Little League

2007 Fall Ball Registration Form

Name:

Address:

Parent(s) Name:

Home Telephone:

Cell Number:

Birth Date:

2008 Age: ______ yrs old

This spring (April 2007 through June 2007) my child played in:

Team Name:________________________________

Are you interested in Coaching or Managing a team:

Yes  or   No    (Please circle one)

Parent Signature:

Payment Method:   Check   or   Cash  (Please circle one)

                     $50

                       $100

Check Number:

Forms can be mailed to:  Haverstraw Little League

                                          P.O. Box 336

                                          Garnerville, New York 10923

                                          ATTN: Fall Ball