Player Interest Form

First name
Last name
Birth Date

MonthDayYear
Throws
Height
Bats
Weight
Primary position
Secondary position
Jersey Size
Pants Size
Home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home phone number

Area CodePhone Number
Player's cell number

Area CodePhone Number
Player's e-mail
Which Prospects program are you interested in?
Dad's name
Dad's cell number

Area CodePhone Number
Mom's name
Mom's cell number

Area CodePhone Number
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