Indiana Shockwaves-Perry

Subscribe to our Newsletter

2015-2016 SHOCKWAVES-PERRY 14U TRYOUT PRE-REGISTRATION FORM

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

* Birthdate:

* Email:

* Grade:

PARENT/GUARDIAN #1

Firstname:

Lastname:

* EMail:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

Relationship to Player:

* Primary Position:

* Secondary Position:

* Hits:

Hitting Coach:

Phone and email:

Pitching Coach:

Phone and email:

Previous Teams and years with team:

WAIVER INFORMATION

I acknowledge that softball is dangerous sport, which can sometimes result in serious injury. By allowing my daughter to tryout for the Indiana Shockwaves fastpitch team, I release and waive liability on the Indiana Shockwaves Organization, Mt. Vernon Schools and coaches.

I/we agree with the above *

test

* indicates required fields

OUR SERVICES

LOCAL SPORTS

ELITE

2015-2016 SHOCKWAVES-PERRY 14U TRYOUT PRE-REGISTRATION FORM