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Scholarship
Justin Werner
2025-01-24T00:45:07+00:00
SCHOLARSHIP APPLICATION
Player Name
*
Gender
This is to help make sure each player is in the right division
Male
Female
Prefer not to answer
Date of Birth
*
Age
*
Parent/Guardian Name
*
Phone
*
Mailing Address
*
Email
*
Significant Injuries
List any and all significant injuries
Allergies
Player's Physician
Physician Phone
Health Insurance Company & Policy Number
Player Division
Age as of May 1 for Baseball - Jan 1 for Softball
T-Ball (Ages 4-6 co-ed)
Farm (Baseball)
8u (Softball)
Minors (Baseball)
10u (Softball)
Majors (Baseball)
Majors JBO
12u (Softball)
12u Valley
14u (Softball
14u Valley
BabeRuth (Baseball)
Uniform Shirt Size
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Coach Request
Not guaranteed
Volunteer?
Umpiring
Fundraising/Sponsorships
Field Prep
By filling out this form, you are applying for a scholarship.
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