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Each of our Sessions run for 7 weeks from the start date displayed on registration form.
It will include a weekly practice (at local MS)along with a Sunday game(at a local HS).
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Berkut Travel Ball Player RegistrationForm
PLAYER INFORMATION
*
First Name:
*
Last Name:
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2
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31
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Email:
Gender:
M
F
*
Grade:
K
1
2
3
4
PARENT/GUARDIAN #1
Firstname:
Lastname:
EMail:
Cell Phone:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
WAIVER INFORMATION
*** Insert your waiver information here ***
I/we agree with the above
*
test
* indicates required fields