East End Youth Baseball League - (Altoona, PA)

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2025 ROOKIE League Registration (ages 5-6 as of June 30, 2025)

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

Zip Code:

* Contact Number:

* Email:

* Birthdate:

* Age as of June 30, 2025:

Gender:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

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)

* I am willing to help coach a team. (Our goal is for each team to have at least 3 coaches.) **:

YES, and I am willing help coach. I understand I will need to provide a PA Criminal Background History and Child Abuse Clearance.

NO, I am not willing to help coach.

Name and Phone Number for person willing to help coach:

* 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.:

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.

* indicates required fields