Stamford Baseball Association

 2008  Registration Form

First Name:
Last Name:
Birth Date (mm/dd/year):
Age:
Street Address:
ZipCode:
Home Phone:
Email:
School:
Grade:
Cell Phone:
Lives With (mother/father/both):
Emergency Contact:
Emergency Contact Phone:
Do you have any medical conditions or allergies that we should be aware of ? (yes/no) :
If so what ?:
League/Team played for last year:
Position:
Comments also Parent's name if different from ballplayer's:

 









 




 
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