Wattles Park Men's Club - Summer Ball Signup
Games are played May 17 - July 17, 2010
NAME _____________________________________________________ BIRTH (mo/day/yr) ______________
ADDRESS __________________________________________________ ZIP CODE 490 _________________
PHONE (primary) _______________________________ PHONE (secondary) __________________________
CIRCLE YOUR PRESENT GRADE: PRE-K* K 1 2 3 4 5 6 7 8
Pre-K means eligible for K in September 2010
SCHOOL THAT YOU ATTEND____________________ CIRCLE: MALE FEMALE
PARENTS'/GUARDIANS' NAMES ____________________________(please print)
Email address _____________________________________________________
PLEASE CHECK:
____ ENCLOSED IS MY CHECK FOR $35.
____ I WISH TO UMPIRE (5th GRADE MINIMUM, $8 PER GAME for 5th/6th Graders; $10 for 7th/8th Graders; $15 for High School)
PARENTS' CHECK LIST:
____ MANAGER (for my child's team) ____ ASSISTANT (for my child's team)
____ CONCESSION WORKER (one time) ____ SPONSOR (My business sponsors my child's team - $55.00)
____ MEDICAL PERSONNEL - Although rarely needed, it's reassuring to know that there's someone in the stands who might be able to help if an injury or emergency occurs. Please consider being available by circling your profession: Doctor, Nurse, Police Officer, Firefighter, E.M.T., or list any other category.
Please print out and mail this form to: Make all checks payable to "WPMC".
WPMC, c/o Gary Lincoln
13166 11 Mile Rd.
Ceresco, MI 49033