B4 BASEBALL REGISTRATION

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* 1. Participant Contact Information

Participant's Name

Birthdate

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Parent/Guardian Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. Participant Shirt Size

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* 4. Would you also be interested in our summer baseball team?

Yes

No