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Fall League Sign Up Form

Parents Name: *

Player Name: *

Date of Birth: *

Age: *

Address: *

City: *

State: *

Zip: *

Home Phone: *

Work Phone:

Cell Phone:

E-Mail: *

Height: *

Weight: *

School:

School GPA:

Bat:

Throws:

Best Positions (2):

League:

Last Level:

All Star:

T-Shirt Size:

Credit Card Type: *

Credit Card #: *

Expiration Date: *

Security Code: *

Liability Insurance Policy #: *

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