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2025 Tball Registration (ages 3 or 4 as of June 30, 2025)
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
Zip Code:
*
Home Phone:
*
Email:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2
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4
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2020
2021
2022
*
As of June 30, 2025 my child will be age:
3
4
Gender:
M
F
PARENT/GUARDIAN #1
*
Firstname:
*
Lastname:
*
EMail:
*
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
Relationship to Player:
Insurance Carrier:
Policy #:
*
Player t-shirt size:
youth xsmall (4-6)
youth small (6-8)
youth medium (8-10)
youth large (10-12)
*
Our program runs with the help of volunteers. Our goal is to have at least 3 coaches per team in order to best be able to coach each child. Please consider helping coach.**:
Yes, I will help coach, and I will provide a copy of my Child Abuse Clearance and PA Criminal Background Check.
No, I am not interested in helping to coach.
Name and Phone Number for person willing to help coach:
* indicates required fields