2019 OBA INSURANCE PROGRAM APPLICATION FOR NON-MEMBERS

 ENROLMENT INCLUDES:
 1. LIABILITY AND ACCIDENT COVERAGE UNDER THE OBA POLICY
 2. RISK MANAGEMENT AND SAFETY PROGRAMS
 3. INSURANCE COVERAGE ONLY FOR OBA-SANCTIONED EVENTS *
 *ADDITIONAL FEES MAY BE REQUIRED
 Local Association:
 Contact Person:
First name Last name
 Street No.:
 Street Address:
 City:  Postal Code:
 Email Address:
 Telephone Res: ( ) -  Bus:  ( ) - ext.
ENROLLMENT INFORMATION
 Age Group
Female Players Male Players Total
9 and under :
10-11 years:
12-13 years:
14-15 years:
16-18 years:
19-21 years:
22 and up:
Total No. of Players:
1. TOTAL NUMBER OF PLAYERS X $6.40 PER PLAYER=
2. TOTAL NUMBER OF COACHES X $6.40 PER COACH =
Total $
BASEBALL ONTARIO DOES NOT INSURE NON-MEMBER UMPIRES. TO OBTAIN OBA INSURANCE, UMPIRES MUST ATTEND AN OBA UMPIRE CLINIC ANNUALLY. VISIT WWW.BASEBALLONTARIO.COM/UMPIRES FOR UPCOMING CLINICS.
NON-MEMBERS MUST SUBMIT A COPY OF THEIR CONSTITUTION/PLAYING RULES WITH THIS APPLICATION FORM.
 

Enter your billing information

 Credit Card Details 
/ (mm/yyyy)
What is This?