Victoria Mariners (BCPBL/BCJPBL/BCPBLPrep) Season Registration

Please visit our REGISTRATION INFORMATION page for important information on program fees, payment, and registration!

PBL Season Registration Form

Player Last Name *

Player First Name *

Date of Birth *

Street Address *

Address Line 2

City/Province *

Postal Code *

Player Phone Number *

Player Email *

Parent Last Name *

Parent First Name *

Parent Phone Number(s) *

Parent Email(s) *

Parent Last Name

Parent First Name

Parent Phone Number(s)

Parent Email(s)

Throws

RightLeft

Bats

RightLeft

Positions Played *

Last Team Played For *

I am interested in playing (check all that apply):

Victoria Mariners Prep Team (age 13-14)Victoria Junior Mariners (age 15-16)Victoria Premier Mariners (age 17-18)

Player Information (anything else you would like us to know?)

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *

Please tell us how you heard about us! *

*Anti-Spam

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