MID-AMERICA LEAGUE
PLAYER INTEREST FORM
PLAYER INFORMATION:
By completing this form, you acknowledge that your information will be distributed to all member teams of the Mid-America League!
FULL LEGAL NAME:
*
First Name
Middle Name
Last Name
Suffix
HOMETOWN, STATE (as it should appear on rosters):
*
Street Address
Street Address Line 2
City
Please Select
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
State
Zip Code
DATE OF BIRTH (as it should appear on rosters):
*
-
Month
-
Day
Year
Date
PLAYER'S SCHOOL EMAIL ADDRESS
*
example@example.com
PLAYER'S YEAR-ROUND PERSONAL EMAIL ADDRESS:
*
example@example.com
PERMANENT HOME MAILING ADDRESS:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PLAYER CELL PHONE:
*
Please enter a valid phone number.
PRIMARY POSITION (select one):
*
Please Select
Pitcher
Catcher
Infielder
Outfielder
PLAYER HEIGHT:
*
Feet/Inches
PLAYER WEIGHT:
*
Lbs.
BATS:
*
Please Select
Right
Left
THROWS:
*
Please Select
Right
Left
COLLEGE INFORMATION
COLLEGE ENROLLED IN SPRING 2024:
*
College/University
ATHLETIC CLASS:
*
Please Select
Freshman
Sophomore
Junior
Senior
Grad Senior
As of April 1, 2024, I have
#
*
years of college eligibility remaining.
COACH INFORMATION:
*
Coach First Name
Coach Last Name
COACH CELL PHONE NUMBER:
*
Please enter a valid phone number.
COACH EMAIL ADDRESS:
*
example@example.com
THIS IS MY:
*
Please Select
Head Coach
Pitching Coach
Assistant Coach
LEAGUE REQUIREMENTS:
Each player is required to have, and keep active throughout the entire season, including all pre-season and post-season events, full personal medical healthcare coverage, either as an individual or as part of their family plan. The Mid-America League does not provide any type of supplemental accident insurance coverage.
The player fee for the Mid-America League is $500.00 (five-hundred dollars) which is due at the time a player contract is executed!
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