503 Baseball New Client Registration Form

All information is held strictest confidence. At no given point is information disclosed or shared without client’s written consent. You may choose to skip answering any question you feel impinges on personal information you do not wish to disclose.
Child's Name*

First NameMiddle NameLast Name
Today's Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current School Attending
Date of Birth

MonthDayYear
Child's Phone Number*
Parent/Guardian # 1 Name*
Parent #1 Phone Number*
Do you want to receive or Newsletter?*
Parent # 1 Email*

Confirmation Email
Do you want to opt-out of our newsletter?*

YesNo
Parent/Guardian # 2 Name
Parent #1 Phone Number
Do you want to receive or Newsletter?
Parent # 1 Email

Confirmation Emailexample@example.com
Child's Background and Goals
1. Bats*
2. Throws*
3. Top 3 Positions*

PitcherCatcher1st Baseman2nd Baseman3rd BasemanShortstopLeft FieldCenter FieldRight FieldOutfieldUtility InfieldOther
Please check any other services that 503 Baseball offers the player or you are interested in:
Services

Summer CampPrivate InstructionClinicsHoliday CampTraveling TeamsBirthday PartiesPersonal TrainingGroup TrainingRental FacilitySpecial Events1:1 Coach TrainingCommunity Coach(s) DevelopmentSmall Group Coach(s) TrainingOther
What team did your child play for this past summer season?*
Today's Date
Signature*

Clear
Sign by using a touch tablet/screen or left click and hold as you sign with your mouse.
Should be Empty: