Trosky Baseball
Pre-Season Camp
Coaches/Parents
*
First Name:
*
Last name:
*
Parent or Coach:
select one
Coach
Parent
League:
Town of League:
Years Coaching?
select one
None
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
20+
Ages Coached?
select one
5-7
8-10
11-13
14-16
16-18
18+
if multiple
5-7
8-10
11-13
14-16
16-18
18+
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Home Phone:
Cell Phone:
Work Phone:
*
E-mail Address:
*
Address:
*
City:
*
State:
select state
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
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Zip:
How did you hear about this event?
select one
E-mail
Friend
Website
Newspaper
Other
Are you interested in private lessons for your son/daughter?
Yes
No
Would you consider advertising with Trosky Baseball?
Yes
No
Would you consider donating to our youth scholarship fund?
Yes
No
*
By checking yes and submitting this electronic registration form, I hold harmless Trosky Baseball, its owners, employees, spondsors, sites, school districts, and coaches. The consenting parties understand and acknowledge that serious accidents any occur during these activities, and that the risk of personal injury as a consequence thereof can be significant, including the potential for paralysis and even death. Knowing the risk of participating in these activities, the consenting parties agree to assume these risks. The release of Liability and Assumption of risk shall be binding on each of the consenting parties' respective heirs, successors and assigns.
Yes, I Consent
*
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*
Indicates Response Required