2019 Chicago Mudcats Winter Programming Registration Form
Please complete the form below. After completing, a CONFIRMATION PAGE will pop up (you may need to scroll up) with detailed instructions regarding payment.

If you have any questions, please do not hesitate to contact us at mudcatsstringer@gmail.com

PLAYER INFORMATION
You must complete a separate form for each player you are registering
Player First Name *
Your answer
Player Last Name *
Your answer
Player Date of Birth *
Your answer
Player School Attending (2018-2019 School Year) *
Your answer
Player Grade Level for 2018-2019 School Year *
Your answer
Does your child play boys baseball or girls fast pitch softball? *
Please List Medical Conditions for Player (if any) *
Enter N/A for none
Your answer
Please List Allergies for the Player (if any) *
Enter N/A for none
Your answer
High School Pre-Season Membership Registration:
Youth Weekend Membership Registration:
To register for January Programs:
To register for February Programs:
NOTES ABOUT YOUR REGISTRATION
PARENT/GUARDIAN INFORMATION
PRIMARY CONTACT
Relationship to Player *
First Name *
Your answer
Last Name *
Your answer
Primary Email Address *
Your answer
Secondary Email Address
If Applicable
Your answer
Mobile Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
ADDITIONAL INFORMATION
Were you referred by anyone? If so, please provide their name.
Your answer
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