Chinook Youth League Registration Form
Chinook Youth League Registration Form
Name: _________________________________ Gender: _____________
Address: _______________________________ Phone #: __________________
Postal Code: _______________________
E-mail Address (optional): ______________________________________________________
Birth Date: ___________________ (MONTH / DAY / YEAR)
Emergency contact name: ______________________Ph#___________________________
Division (circle one): Tiny Tot (suggested 3 – 5 year olds; 1 game/session)
Pee Wee (suggested 6 – 8 year olds; 2 games/session)
Bantam (8-10 years old as of Dec. 31st;
3 games/session)
Junior (11-14 years old as of Dec. 31st)
Senior (15-19 years old as of Dec. 31st)
Registration Fee: $75 + $125 Pre-payment of 1 case of chocolates
Total = $200 (1 case/family must be pre-paid with registration)
Total Fees paid with this registration = $_______________ (ca/ch/cr/db)
(please make cheques payable to Chinook Bowladrome)
Photo/Media Release – yes or no / Permission to contact via email – yes or no
(please circle one for each above)
Athlete/Legal Guardian signature__________________________________________
Chinook Youth League Registration Form
Name: _________________________________ Gender: ____________________
Address: _______________________________ Phone #: _________________________
_______________________________ Postal Code: _______________________
E-mail Address (optional): _____________________________________________
Birth Date: ___________________ (MONTH / DAY / YEAR)
Emergency contact name: _____________________Ph#____________________________
Division (circle one): Tiny Tot (suggested 3 – 5 year olds; 1 gm/session)
Pee Wee (suggested 6 – 8 year olds; 2 games/session)
Bantam (8-10 years old as of Dec. 31st;
3 games/session)
Junior (11-14 years old as of Dec. 31st)
Senior (15-19 years old as of Dec. 31st)
Registration Fee: $75 + $125 Pre-payment of 1 case of chocolates
Total = $200 (1 case/family must be pre-paid with registration)
Total Fees paid with this registration =$____________ (ca/ch/cr/db)
(please make cheques payable to Chinook Bowladrome)
Photo/Media Release – yes or no / Permission to contact via email – yes or no
(please circle one for each above)
Athlete/Legal Guardian signature__________________________________________