Player Registration

2018 Season Registration Fee: $45.00 per player.
Contact Amherstburg Miracle League at 519-919-4641

Player Information

First Name:

Last Name:

Gender:

Date of Birth:

Home Phone Number (ie 555-555-5555):

Address:

City/Town:

Postal Code:

Province:

Shirt Size:

Youth
-
Adult
-

School:

Diagnosis:

Special Needs:

Favourite Colour:

Favourite Food:

Favourite Movie/TV Show:

Favourite Song:


Parent Information

Parent/Guardian First Name:

Parent/Guardian Last Name:

Contact Number (ie 555-555-5555):

Email Address:

I will also volunteer for:










SPONSORSHIP FUNDS ARE AVAILABLE TO ANY PLAYER. PLEASE CONTACT THE AMHERSTBURG MIRACLE LEAGUE REGISTRATION DIRECTOR, ANN BONDY AT annbondy@amherstburgmiracle.com,

OR TELEPHONE CHUCK BONDY AT: 519-919-4641

*PLEASE NOTE: YOU WILL HAVE TO SIGN A WAIVER WHEN VISITING THE MIRACLE LEAGUE FIELD FOR THE FIRST TIME.
Canadian Tire Hamilton Insurance Miracle League
Rapid Drainage Ltd