2021 Summer Ball Signup Url Parent/Guardian Information: First Name * Last Name * Email Address * Alternate Phone Number Primary Phone * Can your Primary phone number receive text? * Yes No Address * Apt # / PO Box City * Zip * Would you like to add another parent? * Yes No Would you like to be a head coach? * Yes No Would you like to be an assistant coach? * Yes No Would you like to be a sponsor? * Yes No Out of Taxing District? * I pay taxes to the Tolono Park District I DO NOT pay taxes to the Tolono Park District Please indicate if you are outside of the Tolono Park District taxing district or not. How many kids will be registered for each program? T-Ball * 012345 Boys and Girls age 5-6 Coach Pitch * 012345 Boys 7-8 Little Leage - Minors * 012345 Boys 9-10 Little League - Majors * 012345 Boys 11-12 Jr. Pony League * 012345 Boys 13-15 8U Softball * 012345 Girls 7-8 (cannot be 9 on or before Jan 1, 2021) 10U Softball * 012345 Girls 9-10 (cannot be 11 on or before Jan 1, 2021) 12U Softball * 012345 Girls 11-12 (cannot be 13 on or before Jan 1, 2021) Jr. Softball** * 012345 Girls 13-16 Notes Requesting specific teams may not be honored. TballSubTotal T-Ball Subtotal: $ TballDiscount T-Ball Discount: $ Tball Total T-Ball Total: $ Program Total2 Programs Total: $ Out of Taxing District Fee Out of Taxing District Fee: $ Late Fee Late Fee: $ SubTotal Subtotal: $ Discount Additional Discount: $ AmountDue Amount Due: $ Participant agrees to follow all Tolono Park District COVID-19 guidelines and policies. This includes wearing face coverings at all times when participating in Summer Ball activities including practices and games . * For more information on COVID-19 guidelines, please go to https://www.tolonoparks.org/covid-19-summer-ball-guidelines/ By checking this box and submitting this registration, I acknowledge and certify that all information submitted is accurate. I also acknowledge that false or inaccurate information may incur additional fees or nullify registration, . * Billing Information: First Name * Last Name * Address Line 1 * Address Line 2 City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Credit Card Information: square2 Card Number Expiry (MM/YY) Card Code Card Postal Code Total Total: $