This form should be completed by players requesting placement on one of the independent Zone Select tournament teams.


Please note the following:

 

1.   Submission of this form does not guarantee placement on a team. We will attempt to include all individuals who express an

       interest; however, roster limitations may exclude us from doing so.

 

2.    Individuals completing this form should not be affiliated with any other team participating in this Tournament.

 

3.    Individual player entry fee: $200.00

4.   All items marked with an asterisk (
* ) are required fields.
 

 
 

   PLAYER INFORMATION

*  

Player's full name:

*  

Date of birth:

  /    / 

*  

Height:

and

*  

Weight:

pounds

*  

Street address:

Street address (continued):

*  

City/Town:

*  

State:

*  

Zip code:

*  

Telephone contact (primary):

Telephone contact (secondary):

*  

Email address:

*  

Re-type email address:

 

 

   EDUCATIONAL INFORMATION

*  

Your 2017-18 school:

Your 2016-17 school (only if it
differs from previous line item):

*  

 

School grade (2017-18 school year):

  High School Freshman (Grade 9)

  High School Sophomore (Grade 10)

  High School Junior (Grade 11)

  High School Senior (Grade 12)

  Post-graduate student

*  

Anticipated year of graduation:

Current G.P.A. (if known):

Class Rank (if known):

 out of    total students

S.A.T., A.C.T., or other standardized testing score(s) (if other, please identify test).  If not taken, please indicate as such:


If known, what colleges and/or universities are you considering applying to:

  BASEBALL INFORMATION

*  

 Primary baseball position:

Secondary baseball position:

*  

Bats:

  Left            Right             Switch

*  

Throws:

  Left            Right

*  

 High School Coach:

High School Coach contact information (tel. no. or email):

 

 

   PARENT(S) INFORMATION

*  

Parent name(s):

Parent(s) street address:

Parent(s) street address (continued):

Parent(s) city/town:

Parent(s) state:

*  

Parent(s) telephone contact (primary):

Parent(s) telephone contact (secondary):

*  

Parent(s) email address:

 

 

   HEALTH INSURANCE INFORMATION

*  

Health insurance provider:

*  

Health insurance policy number:

   OTHER INFORMATION

 

 

 

Is there any other information you wish to furnish us?  If so, please use the adjacent space to provide it.

 

We do not sell or otherwise distribute any information on this form, as we understand the value of a player's privacy. We will utilize any submitted information for placement consideration purposes only.