Central California Krush 18 GOLD

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New Player Profile On-Line Form

* Player Name:

* Address:

* City and Zip Code:

* Player Phone Number:

* Player E-mail:

* Age:

* Date of Birth:

* First 5 numbers of SS# (For PGF Registration):

* Height:

* Weight:

* Defensive Positions in Order of Preference:

* Bats:

* Throws:

* Home to First Time:

Home to Second Time:

Home to Home:

Pitching Top Speed:

Pitches (check all that apply)

Rise

Change-up

Drop

Screw

Curve

Any other pitches or comments regarding pitches.:

Catcher Pop Times:

* Player Assests Narrative (Example: agressive, hard thrower, speed, coachable, etc...).:

* Graduation Year:

* Cumulative GPA (Do not guess, we need exact current number):

* SAT Score or Pending Results or Not Yet Taken.:

* NCAA Eligibility Number:

* NAIA Eligibility Number:

* High School Name:

* Address:

* City and Zip Code:

* HS School Phone number:

* HS School Head Softball Coach Name:

* HS School Head Softball Coach E-mail:

* HS School Head Softball Coach Phone:

* HS Athletic Directors Name:

* HS Athletic Directors Name E-mail:

* HS Athletic Directors Phone:

* All Prior Travel Teams- Year, Season, Team Name, Coach:

* Awards and Honors Athletic and Academic,(Year, award or honor descriptions):

* Additional Training ( Pitching, hitting, trainer or any other Coaches( Name, Phone & What for?):

* Recruit Camps Attended, ( Year, What Camp and Where?):

* College Academic Interest ( Nurse, Liberal studies, etc...):

* Please list what Colleges you are interested in.:

* Are your options open as far as attending college out of state?, Please explain either yes or no.:

Parent/Guardian Information

* Primary Contact Parent Name:

* Address:

* City and Zip Code:

* E-mail Address:

* Cell Phone:

* Other Contact Phone Number:

Secondary Contact Parent Name:

Address:

City and Zip Code:

E-mail Address:

Cell Phone Number:

Other Contact Phone Number:

* 1. Emergency Contact Other than Parents:

* Phone Number:

* 2. Emergency Contact Other than Parents:

* Phone Number:

DISSEMINATION OF PERSONAL INFORMATION
PLEASE READ CAREFULLY. PLEASE CALL COACH DAVE IF YOU HAVE ANY QUESTIONS BEFORE ANSWERING ANY OF THE QUESTIONS BELOW.

Each players profile will include information for recruiters to review on-line on the Krush website. Understand that this information will be viewed by the public.

However if you would like to list specific identifying information for the website please list how you would like it.

For instance if you would like no DOB, address and phone number listed of your daughter but wish to list the parent's e-mail or phone number on the website this can be done. However in order to get recruited the players entire info should be listed on the actual paper Player Profile for College recruiters. This will be handed to them only. Please note below how you wish this to be done.

"OPT OUT" I wish none of my daughter’s information to be listed on any Central California Krush website.

Information I do not wish to list for public view or please attach the complete profile with all information.:

* I do authorize that in the promotion of my daughter to college recruiters, the above information will be disseminated to college recruiters for that purpose only. By selecting yes indicates my approval and no indicates my disapproval.:

By selecting a yes answer below, acts as my signature understanding that I as parent of the above named daughter agree with the afore mentioned acknowledgements and my responses as a true fact. I agree to hold harmless the Central California Krush Organization, players, board members, sponsors and coaches from any liability from any issue arising from said information being disseminated.

* :

You will sign this form at a later date

Signature:

Date:

Signature:

Date:

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New Player Profile On-Line Form