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Member Registration
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 User group: Player  
Login Account

 User ID (4-16 alphanumeric characters):

*  
 Password (4-16 alphanumeric characters): * Re-type Password: *
 Login Password Required:  Every Time   First Time
 User ID Setup Date: User ID Suspension Date:   

 
Basic Info
 Salutation: First Name: * Last Name: *
 Specialty: Age: Birth Date:
 Tenant Name :
 Building code: *  Lot No: *  
 Company Name:
Contact Info (Provide one telephone number):
 Office: - x Home: -
 Mobile: - Fax: -
 Email: *
Emergency Contact

 Name of Contact :

 Contact Phone: -

 Name of Contact 2:

 Contact Phone: -

 Name of Contact 3:

 Contact Phone: -
Address (Optional):
 Suite/Unit No:  
 Street Address:
 City: Province/State:
 Country: Post Code:
Billing Address (if different from above)
 Suite/Unit No:  
 Street Address:
 City: Province/State:
 Country: Post Code:

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York Simcoe Baseball Association Mission Statement To Promote and advance baseball to all stakeholders of York Simcoe by providing opportunities which foster participation in a safe, sportsmanlike and positive environment. A Member of VICommunity, Powered by www.visportsclub.com , QCTI QC Technologies Inc.