East End Youth Baseball League

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2025 Major League Player Registration (ages 9-12 as of June 30, 2025)

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Contact Phone Number:

* Birthdate:

* Player age as of June 30, 2025:

* Email:

Gender:

PARENT/GUARDIAN #1

* First name:

* Last name:

email address:

Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

First name:

Last name:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

* For CURRENT East End players ONLY. Please mark your CURRENT team:

Burgmeier's Hauling

Caporuscio's Plumbing

Cumming Motors

Dean Patterson

Greenwood Meadows

Kabello's Contracting

Penn Med

Sheetz

Not currently on an EE team

* Photography Release: I give permission for my son/daughter to have pictures taken and posted on the East End Facebook page.:

YES, I grant permission for my son/daughter to have his/her picture taken and posted on the East End Facebook page.

NO, I do NOT grant permission for my son/daughter's photo to be taken.

On the next page, be sure to click CHECKOUT to complete your registration.

* indicates required fields

East End Youth Baseball League

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