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Baseball Registration

22 June to 13 July

Player Information

First Name First name is required.

Last Name last name is required.

Date Of Birth Date of birth is required.

City City is required.

Zip / Postal Code Zip/postal code is required.

Address Address is required.

Parent / Guardian Information

First Name First name is required.

Last Name Last name is required.

Phone Valid phone is required.

Home Phone Valid home phone is required.

Email Valid email is required.

Relationship To Child Relationship is required.

Medical Information (Known Medical Conditions)

Emergency Contact

First Name First name is required.

Last Name Last name is required.

Home Phone Valid phone is required.

Work Phone Valid phone is required.

Cell Phone Valid phone is required.

Relationship To Child Relationship is required.

Uniform Size

Jersey Size :

YXS

YS

YM

YL

YXL

AS

AM

AL

Please select a jersey size.

Pants Size :

YXS

YS

YM

YL

YXL

AS

AM

AL

Please select a pants size.

Note: Uniforms will not be shipped. They will be handed out by the supplier once ready.

Agreement

I certify that the above information contained in this document is accurate to the best of my knowledge.

I, the parent/guardian, grant permission for my child to participate in the specified sport.

Per Player $75.00 Additional Child $70.00

Please select at least one option.

Total Pay

$0.00

We Acceptable :

Payment Type

$75.00 per player

$70.00 additional child

Fee Includes

Includes Jersey
Pants
Hat

Coach Chris Kirby

(731) 336-8512 coachchriskirby@gmail.com

Coach Chris Kirby

coachchriskirby@gmail.com

2026

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