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Date_____________________ |
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Contact Information |
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Father - First Name *
Mother - First Name |
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*Player
Name _____________________________ |
____________________ ____________________ |
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*Address ______________________________ |
W-___________________
W- __________________ |
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*City,State
Zip ______________________________ |
C-____________________
C-___________________ |
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*Home
Phone ______________________________ |
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Is it
okay to send information regarding products or services from Fielder's Choice
using - mail / e-mail? Y N |
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Would
you like appointment reminders sent to your e-mail when it is available? Y
N |
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E-mail
address_____________________________________________ |
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Height/Weight _______/_______
Age/Birthdate (M/Y)
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Prior
/ Current Lessons @ FC |
Instructor |
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Pitching Y N
__________________________ FC Camps Attended Y N |
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Hitting Y N
__________________________ FC Clinics Attended Y N |
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Fielding Y N
__________________________ FC Hitting League Y N |
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Catching Y N
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Other Y N
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**NOTE**All
fields with asterisks are required fields. |
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