2019 Season Mudcats Tryout Registration Form - Youth Programs 9u to 14u
All parents are required to sign a medical and media waiver prior to tryouts. The waiver can be found on our website www.chicagomudcats.com under "Teams/Boys' Baseball/Tryout Information. Please print and sign this waiver either email it to mudcatsstringer@gmail.com or have your player bring it with them to tryouts. Players will not be allowed to tryout without a completed waiver on file.
OPEN TRYOUT INFORMATION - BASEBALL 9U-14U
Please register your player here for Open Tryouts at The Creek *
Please select one day/time only
If you are requesting a private tryout, please list availability below and a Mudcats representative will contact you
Your answer
PLAYER INFORMATION
You must complete a separate form for each player you are registering for tryouts
Player First Name *
Your answer
Player Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School Attending/Grade (2018-19 School Year) *
Your answer
Grade Level for 2018-19 School Year *
Your answer
2018 Team *
Your answer
Primary Positions Played in 2018 *
Your answer
Did the player pitch regularly in 2018? *
Anything else we should know about the player? *
Your answer
Player Email Address *
Enter N/A if not applicable
Your answer
Player Cell Phone Number *
Enter N/A if not applicable
Your answer
Player Home Phone Number *
Enter N/A if not applicable
Your answer
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
Will the Player Bring an Epi-Pen or Inhaler to Tryouts? If so please list below. *
Enter N/A for none
Your answer
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
Home Phone Number *
Enter N/A if not applicable
Your answer
Mobile Phone Number *
Enter N/A if not applicable
Your answer
Work Phone Number *
Enter N/A if not applicable
Your answer
Best Way to Reach You *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Occupation *
Your answer
Employer & Title *
Your answer
Player Resides With...
PARENT/GUARDIAN INFORMATION
SECONDARY CONTACT
Relationship to Player
First Name
Your answer
Last Name
Your answer
Primary Email Address
Your answer
Secondary Email Address
Your answer
Home Phone Number *
Enter N/A if not applicable
Your answer
Mobile Phone
Enter N/A if not applicable
Your answer
Work Phone
Enter N/A if not applicable
Your answer
Best Way to Reach You *
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Occupation
Your answer
Employer & Title
Your answer
EMERGENCY CONTACT INFORMATION
Please indicate below two emergency contacts IN ADDITION to those listed above
EMERGENCY CONTACT INFORMATION - #1
Emergency Contact #1 First Name *
Your answer
Emergency Contact #1 Last Name *
Your answer
Emergency Contact #1 Home Phone *
Your answer
Emergency Contact #1 Mobile Phone *
Your answer
Emergency Contact #1 Work Phone *
Your answer
Emergency Contact #1 Relationship to Player *
Your answer
EMERGENCY CONTACT INFORMATION - #2
Emergency Contact #2 First Name *
Your answer
Emergency Contact #2 Last Name *
Your answer
Emergency Contact #2 Home Phone *
Your answer
Emergency Contact #2 Mobile Phone *
Your answer
Emergency Contact #2 Work Phone *
Your answer
Emergency Contact #2 Relationship to Player *
Your answer
ADDITIONAL INFORMATION
Were you referred by anyone? If so, please provide their name.
Your answer
Please list names and phone numbers of those authorized to pick up your player from camp.
Players will not be released to anyone that is not on the authorized list
Your answer
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