Port Perry & District Minor Softball   Association
P.O. Box 300, PORT PERRY Ontario L9L 1A3
(905) 985-7008(24 hr voice mail) or email:  softball@portperrysoftball.com  or website: www.portperrysoftball.com

Office Use Only:   Amount Paid________________ by cash/cheq #__________________Family Rate

Pitcher Rating_________ Catcher Rating__________  Total Rating__________ Division_______________________

This form must be completed, signed & fee paid prior to any player taking part in any activity
Please complete one form for each player.  Do not include information for more than one player on this form.  Additional forms may be printed from our website

PLAYER NAME (please print)	MALE / FEMALE (please circle)
MAILING ADDRESS & POSTAL CODE	DATE OF BIRTH (dd/mm/yy)
E-MAIL ADDRESS	TELEPHONE #
NAME OF PARENTS/GUARDIAN

Self Assessment/Rating:  Please circle one choice below that best describes the player’s ball skills.  This will assist us in creating balanced teams.   
4 highly skilled      3 skilled/competent   2 limited skills with some success   1 limited skill/new player

Would the player be interested in being called to “play up” (as required) in the next higher division?  YES       NO

Do you want to be informed of rep tryouts?    YES                        NO

I, the undersigned parent / guardian of the above named individual, hereby acknowledge and agree that Port Perry & District Minor Softball Association, is released from all claims for damage, loss, or injury which may occur while participating in any activity within the Association, including transportation to and from Association activities.

Dated this  day of , 2008.  Signature _______________________________

How can you help:               Coach                    Asst Coach           Division convenor                                Team Sponsor              Umpire

This Association can only run with parent involvement.  Any assistance would be appreciated.  See our website for a description of job assignments.  Our Association is run solely by parents and softball supporters.  Your contribution is valuable and enables us to continue to offer organized softball to the youth of Scugog.  Information and training is available for Convenors, coaches and umpires.  Umpires are paid.  All volunteer coaches will require a current police check.

Register anytime before March 25 by mail to the address above

Players may not be placed after March 31.  Placement on teams will depend on available spaces and team size
FAMILY RATE- Maximum fee of $235.00 applies to families with 3 or more players.
EARLY BIRD DISCOUNT – Register before March 15 and pay $25.00 less than the rates noted below.

AGE Year of Birth	DIVISION LEVEL	WHEN (Days Subject to change)	FEE
4 -5 2003-2004	Learn to Play	Thurs  6:30	$85
6-8 2000-2002	Level 2 Learn to Play	Wed 6:30	$85
7 - 8 2000-2001	Jr Mites	Mon 6:30	$100
9- 10 1998-1999	Mites	Tues  6:30	$110
11- 12 1996-1997	Squirt	Thurs 6:30	$110
13- 14 1994-1995	Intermediate	Wed 6:30	$110
15-19 1989-1993	Senior	Thurs 8:30	$110