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NOTE: The information below is used by the CYL to contact you when activities start. Each child will still require a filled
out sign-up sheet signed by a parent or legal guardian.
You can download a copy of this form below, fill it out and mail it with payment, postmarked by 2/26/08 to:
CYL
P.O. Box 57
Coatesville, IN 46121
or you can provide the form when activities start.
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Download Form
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Right click on Download Form and choose "Save Target As..." to download the form.
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Male
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Age
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Home Phone
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Name
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Cell Phone
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Female
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Address
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Home Phone
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Birthdate
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Cell Phone
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e-mail
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City, Zip
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YS
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YM
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YL
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Shirt Size
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Parents
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AS
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AM
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AL
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AXL
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AXXL
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I/we assume all risks and hazards incidental to such participation including transportation to and from the activities; and I/we hereby waive, release, absolve,
indemnify, and agree to hold harmless the Coatesville Youth League Officers, supervisors, participants, and persons transporting my child/children to or from
these activities, for any claim arising out of injury to my child/children, except to the extent and amount covered by accident insurance.
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In case of accident:
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Please check the following if you are interested in helping:
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Phone
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Name
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Coach
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Team Mom
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Phone
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Name
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Asst. Coach
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Hog Roast
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Additonal Comments:
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1st Player $35.00
Additional NON-T-Ball Siblings $20.00/ea.
ALL T-Ball $25.00/ea.
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