2009  REGISTRATION FORM

Managers Name______________________________________________________________

Address_____________________________________________________________________

City & Zip Code_______________________________________________________________

Primary Phone______________________ Secondary Phone__________________________________

E-Mail Address________________________________________________________________

Team Name (if known)__________________________________________________________

Division Registering in:  _____ 10 & Under   _____ 11& Under   _____ 12 & Under

                                 ______ 13 & Under  _____ 14& Under   _____ 15& Under

Level Registering in:     ______ AAA           ______ AA

If you played in a league other than Puritas, please complete the following.

League played in 2007 season: ___________________________________________________

League record for 2007 season: ___________________________________________________

Please mail fee and registration form to:

Puritas Baseball League, 19500 Puritas Ave; Suite 121; Cleveland, Ohio, 44135