Upper Deck Academy Interest Form
2026-2027 School Year
Student Athlete Information
Student Athelte's Name
First Name
Last Name
Age
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
School/Grade Level
Primary Position
Ex: 1B, 2B, CF
Secondary Position
Ex: 1B, 2B, CF
Current Team:
High School, Travel, Little League
Parent/Guardian Information
Name
First Name
Last Name
Relation
Phone Number
-
Area Code
Phone Number
Email Address
Email
Name
First Name
Last Name
Relation
Phone Number
-
Area Code
Phone Number
Email Address
Email
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select your interest:
Please Select
Baseball Academy Only
Baseball & Academic Program
Medical Information
Does the child have any allergies? If yes, please list them below:
Does the child have any previous injuries? If yes, please explain them below:
Does the child have any current medical conditions? If yes, please list them below:
Does the child takes any medication? If yes, please list them below and explain its purpose:
Submit
Should be Empty: