By submitting this form you are certifying that you are the parent or guardian of the player being registered.

Player Information (all information within this box is required, unless noted otherwise)

First Name	Middle Name (optional)	Last Name
Street Address
City	State Select your state... NA (outside of U.S.) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming	ZIP Code
Home Phone (include area code)	Birth Date 1 2 3 4 5 6 7 8 9 10 11 12 / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975	Available Divisions 12 Travel (11 to 12) - $420.0011 Travel (10 to 11) - $420.0012/13 Tournament (12 to 13) - $420.00
Shirt Size Youth Small Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Adult Extra Large	Pant Size Youth Small Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Adult Extra Large
Player's School
Special Comments (optional) (siblings in program, other commitments, health considerations, etc.)
Past Experience
Years 0 1 2 3 4	Primary Position	Secondary Position
Past Team	Past Position	Years Played 123
Past Team	Past Position	Years Played 123
Past Team	Past Position	Years Played 123
Why do you want to play travel baseball?

Parental/Guardian Information
(all information within this box is required, unless noted otherwise)

Father/Guardian
Check this box IF this section does not apply (Single Parent).
Name	Home Phone (include area code)	Work Phone (optional)
Personal E-mail Address
Work E-mail Address (optional)
I'd like to volunteer for the following: (check all that apply) (optional) Coach Asst. Coach Field Maintenance Pre/Post Game Field Prep Team Mom Scoreboard
All parents/guardians will be asked to assist in fund raising efforts to help offset the costs of our baseball program.
Mother/Guardian
Check this box IF this section does not apply (Single Parent).
Name	Home Phone (include area code)	Work Phone (optional)
Personal E-mail Address
Work E-mail Address (optional)
I'd like to volunteer for the following: (check all that apply) (optional) Coach Asst. Coach Field Maintenance Pre/Post Game Field Prep Team Mom Scoreboard
What are your expectations of what your son/you will gain from this experience?
What are your playing time expectations for your son/self?
What are your playing position expectations for your son/self?