Ramsey Resident - 2002 - May/June

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10 Summer Boys Baseball L r 0.:‘t sott ligitiedgm When ' :VractFce and gamos w ill be: .Wedn'asda's 5:45- .8:t5" pm, Z 5 -'Aug !'. 243; 2002 Where Rt t Surns Township VarK (right `behind SparK. s- Restaurant) ;; corner of Goun t.f 'Rd_ 22 and _ To register, fill out and mail with payment to: Nowthen Alliance Church, 19653 Nowthen Blvd. NW, Nowthen, MN 55303 Player's Name: Address: City /Zip: Mother's Name: Father's Name: Birth Date: Phone #: # of seasons played: 1, the parent or guardian of the above named candidate for the Corner Ball Club (CSC) Program, do hereby give my consent for the above to participate in any and all CBC activities during the current season. / assume full risks and hazards incidental to such participation and waive, release, absolve, indemnify and agree to hold harmless Nowthen Alliance Church and any other cooperating associations or organizations, supervisors, sponsors, coaches, participants and persons transporting my child or children to or from activities, for any claim arising out of injury. / further agree to assume all risks and hazards incidental to the use of facilities in the Township of Bums, and waive, release, absolve, indemnify, and agree to hold harmless the town of Bums for any claim arising out of injury. / give my permission for Corner Bail Club to use our name, address and phone number for roster purposes only. Parent/Guardian Signature Date Fee Paid: (Make checks payable to Nowthen Alliance Church) One form per child Where did you hear about registration? 7 a To be successful, the thing to be is fall in love with your work. Corner BALL Club Sliding Fee Based on Yearly Family Income Income: $0- 15,000 Fee: $5 Income: $15,000- 30,000 Fee: $10 Income: Over $30,000 Fee: $15 Scholarships available, . \ call for information Sign up by MaY 20 to guarantee ice on team. Q Can Chad Frame at 163- 241 -4115