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_____________________________________________________________________________

PLAYER INFORMATION

Name   Age   Date of Birth

Throws   Bats   Pitch

Primary Position   Secondary Position

Previous Team   Previous Coach

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GUARDIAN INFORMATION

HIS

Name

Address  

City   State   ZIP

Home Phone   Work Phone   Cell Phone

E-Mail Address

_____________________________________________________________________________

HERS

Name

Address  

City State   ZIP

Home Phone   Work Phone   Cell Phone

E-Mail Address

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