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1
Parent/Guardian Full Name
*
This field is required.
First Name
Last Name
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2
Parent/Guardian CELL PHONE
*
This field is required.
Please enter a valid phone number.
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3
Player Full Name
*
This field is required.
First Name
Last Name
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4
Player Age Group/Division
*
This field is required.
3-5U T-Ball
6-8U Baseball Machine Pitch
9-11U Baseball Kid Pitch
12-14U Baseball Kid Pitch
15-18U Baseball Kid Pitch
6-8U SOFTBALL
9-10U SOFTBALL
11-12U SOFTBALL
13-14U SOFTBALL
15-18U SOFTBALL
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5
Player #2 Full Name
ONLY IF APPLICABLE
First Name
Last Name
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6
Player #2 Age Group/Division
ONLY IF APPLICABLE
3-5U T-Ball
6-8U Baseball Machine Pitch
9-11U Baseball Kid Pitch
12-14U Baseball Kid Pitch
15-18U Baseball Kid Pitch
6-8U SOFTBALL
9-10U SOFTBALL
11-12U SOFTBALL
13-14U SOFTBALL
15-18U SOFTBALL
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7
Player #3 Full Name
ONLY IF APPLICABLE
First Name
Last Name
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8
Player #3 Age Group/Division
ONLY IF APPLICABLE
3-5U T-Ball
6-8U Baseball Machine Pitch
9-11U Baseball Kid Pitch
12-14U Baseball Kid Pitch
15-18U Baseball Kid Pitch
6-8U SOFTBALL
9-10U SOFTBALL
11-12U SOFTBALL
13-14U SOFTBALL
15-18U SOFTBALL
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9
Qualifying Assistance Program
*
This field is required.
Free Lunch
Reduced Lunch
SNAP
TANF (Temporary Assistance for Needy Families)
Medicaid
Other
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10
You may provide any additional information you would like the board to consider. This information will remain confidential.
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11
Parent/Guardian EMAIL
*
This field is required.
example@example.com
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12
I certify that the information provided is accurate and complete. I understand that failure to provide any requested documentation by May 25 may result in player ineligibility and/or team forfeiture if participation occurs without approval.
*
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YES
NO (Your Application will be denied)
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