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PLAYER INFORMATION
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*
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Player's full name:
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*
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Date of birth:
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/
/
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*
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Height:
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and
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*
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Weight:
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pounds
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*
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Street address:
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Street address (continued):
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*
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City/Town:
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*
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State:
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*
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Zip code:
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*
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Telephone contact (primary):
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Telephone contact (secondary):
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*
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Email address:
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*
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Re-type email address:
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EDUCATIONAL INFORMATION
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*
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Your 2018-19 school:
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Your 2017-18 school (only if it
differs from previous line item):
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*
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School grade (2018-19 school year):
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High School Freshman (Grade 9)
High School Sophomore (Grade 10)
High School Junior (Grade 11)
High School Senior (Grade 12)
Post-graduate student |
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Anticipated year of graduation:
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Current G.P.A. (if known):
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Class Rank (if known):
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out of
total students
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S.A.T., A.C.T., or other standardized testing
score(s) (if other, please identify test). If
not taken, please indicate as such:
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If known, what colleges and/or universities are you
considering applying to:
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BASEBALL INFORMATION
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*
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Primary baseball position:
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Secondary baseball position:
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*
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Bats:
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Left
Right
Switch |
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Throws:
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Left
Right |
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High School Coach:
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High School Coach contact information (tel. no. or
email):
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PARENT(S) INFORMATION
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*
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Parent name(s):
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Parent(s) street address:
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Parent(s) street address (continued):
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Parent(s) city/town:
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Parent(s) state:
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*
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Parent(s) telephone contact (primary):
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Parent(s) telephone contact (secondary):
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*
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Parent(s) email address:
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HEALTH INSURANCE INFORMATION
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*
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Health insurance provider:
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*
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Health insurance policy number:
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OTHER INFORMATION
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Is there any other information you wish to furnish us? If so, please use the adjacent space to provide it.
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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.
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