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First Name:*

Last Name:*

Age:*

DOB:*

(MM/DD/YY)

Primary POS:*

Secondary POS:*

Address:*

City:*

State:*

Zip:*

Email:*

Parent Names:*

Secondary Email:*

Home Phone:*

Mobile Phone:*

Other Mobile:*

School Attending:*

Grad Year:*

Level Played Last Year:* JH Fresh JV Varsity

Height:*

Weight:*

Bats:*

Throws:*

Hat Size:*

(ex 7 3/4)

Jersey Size:* Youth L Youth XL S M L XL XXL

Preferred Jersey Number:*

Second Choice Jersey Number:

Pant Size:* Youth L Youth XL S M L XL XXL

How did you find out about our program?:*

Please list the top 2 players you competed against or with in the past year.

Name:*

School / Summer Team:*

Name:*

School / Summer Team:*

Additional Comments: