Trosky Baseball
Palomar College
Prospect Games Camp
Registration Form
Player Info
*
Player First Name:
*
Player Last name:
*
Player's Cell Phone:
*
Player's E-mail:
*
Arrival Date:
Fri, Jan 15th
Sat, Jan 16th
Undecided
*
Player Type:
select player type
Position Player
Pitcher
Dual Player
*
Player Positions:
primary
1B
2B
SS
3B
OF
C
P
secondary
1B
2B
SS
3B
OF
C
P
U
*
Bats
Right
Left
Switch
*
Throws
Right
Left
*
Height:
select
5'0"
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
6'7"
6'8"
6'9"
6'10"
6'11"
*
Weight:
*
Age of Participant:
*
Date of Birth:
mo
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
*
day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
*
yr
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
Allergies:
Medical Conditions:
60 Yard Dash
Average Time:
Best Time:
Number of stolen bases:
(last season)
Pitchers
Average Fast Ball Velocity:
Top Fast Ball Velocity:
Catchers
Average Pop Time:
Best Pop Time:
Hitters
Varsity Batting Average:
(most recent)
Summer Batting Average:
(most recent)
Number of HR's:
(last season)
Baseball Accolades or extra info you'd like to add:
(be brief)
School Information
*
Student Type:
High School
Junior College
*
School Attending:
*
Graduation Year:
select grad year
2009
2010
2011
2012
2013
2014
2015
*
GPA:
Test Scores:
(if available)
Score
SAT
SAT II
ACT
Years in Organized Baseball?
select one
None
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
References
(all players are required to provide at least one reference, preferably two)
Reference 1
*
Name:
*
Relationship to you:
*
Title (Coach/Scout):
*
Phone:
*
E-mail:
Reference 2
Name:
Relationship to you:
Title (Coach/Scout):
Phone:
E-mail:
Have you attended any of the following events in the last year?
(check all attended)
I Attended
Stanford Summer Prospect Camp
Santa Clara Summer Prospect Camp
UCSB Summer Prospect Camp
Cal Poly Summer Prospect Camp
Trosky Baseball Showcase
Area Codes Tryout - Nor Cal
Area Codes Tryout - So Cal
Rawlings World Series
Perfect Game Showcase
Area Codes Camp - North
Area Codes Camp - South
Guardian Information
*
Parent/Guardian Name:
Relationship:
select relationship
Mother
Father
Step-Mother
Step-Father
Grandmother
Other Legal Guardian
*
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
*
Zip:
*
Insurance Carrier:
*
Policy No:
*
Emergency Contact:
*
Emergency Phone:
How did you hear about this event?
select one
E-mail
Friend
Website
Newspaper
Other
Are you interested in private training?
Yes
No
Are you interested in our Video Scout service?
Yes
No
Are you interested in our College Connection service?
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 give permission for my (son/daughter) to attend any activity held by Trosky Baseball. 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. I understand it's necessary to have primary health insurance coverage on my child. I hereby give consent for the performance of such diagnosis, medical and/or surgical treatment on my son or daughter as may be deemed medically necessary in order to assure the safety of my child. All efforts will be made to contact me before procedures are performed.
Yes, I Consent
*
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*
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