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Player Name *

First Name

Last Name

Player Birthday *

MM

DD

YYYY

Parent Phone #1

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Parent Phone #2

(###)

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Coach & Team Parent Assistance (Optional)

(Skip or Check as many as you're able to do)

Willing to be the Coaches Team Coordinator

Willing to assist Team Coordinator

Willing to be Teams GameChanger Scorekeeper

Willing to assist Team GameChanger

Willing to Throw Batting / Help at practice if needed

Willing to help team w/Fundraising to Vegas, Arizona & Omaha

Will opt-out of any Team Fundraising Involvement and pay the full the out of town team fees