Kitchener Panthers Elite Program Tryout Registration

Player Name

First NameLast Name
Player Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player Date of Birth

MonthDayYear
Date
Current roster (team)
Enter team the player currently plays for
Parent/Guardian

First NameLast Name
Parent/Guardian 2

First NameLast Name
Main Contact Email
example@example.com
2nd Contact email
example@example.com
3rd Contact email
example@example.com
Main contact phone

Area CodePhone Number
2nd Contact Phone

Area CodePhone Number
3rd Contact Phone

Area CodePhone Number
Height
Weight
Primary Position
Secondary Position
Baseball Related Social Media Account Information
If you have a baseball showcase social media account, tell us about it here
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Additional Information you would like to add:
Tell us more about your drive to play Elite Baseball
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