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COLORADO SELECT BASEBALL CLUB
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PLAYER INFORMATION
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First Name:
*
Last Name:
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City:
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Zip Code:
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Mobile Phone:
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Birthdate:
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M
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*
Grade:
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K
1
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Primary Position:
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P
1B
2B
3B
SS
C
OF
Secondary Position:
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P
1B
2B
3B
SS
C
OF
Level of Experience:
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Majors
Prior Team:
PARENT/GUARDIAN
First Name:
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Email Address:
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MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
Insurance Carrier:
Policy #:
WAIVER INFORMATION
I/we agree with the above
*
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