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SquireSports

THE SOUTH SHORE INDIANS BASEBALL CLUB

REGISTRATION PAGE

To register, either fill out form below or download this form to print/mail.

Submit forms via mail to:
Kevin C. Gorman, President
3609 Southview Avenue
Wantagh, NY 11793
(516) 826-9889

E-mail Address: *
Players Name
Age as of May 1, 2011 *
Date of Birth *
High School Graduation Year
Bats
Throws
Height
Weight
Primary Fielding Position
Secondary Fielding Position
Home Address
City
State
Parents Name
Parents Phone
Players Phone
Players email
High School
High School Coach
Summer Team
Summer Team Coach
Does the player wear glasses or contacts?
If the players wears glasses, are they shatterproof?
* Required


Submission of this form gives permission for the participating player to take part in the South Shore Indians Travel Baseball Program. I further attest that the participant in in good health and I know of no physical condition that could prevent the participant from taking part in the South Shore Indians Travel Baseball Program.