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Berkeley Over 68 Senior Slow Pitch Softball League
SPONSORED BY MATT BLATT KIA of TOMS RIVER
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2024 OVER 65 FALL LEAGUE WATIING LIST
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Home Phone or Cell if the Same Number:
Cell Phone:
*
Birthdate:
Jan
Feb
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Apr
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Aug
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Dec
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Email:
*
PRIMARY DEFENSIVE POSITION:
P
C
1B
2B
MI
SS
3B
L
LC
RC
R
ANY INF
ANY OF
ANY POSITION
*
SECONDARY DEFENSIVE POSTION:
P
C
1B
2B
MI
SS
3B
L
LC
RC
R
ANY INF
ANY OF
ANY POSITION
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Relationship to Player:
Phone Number:
I/we agree with the above
*
* indicates required fields