Under 12 State Winter Champs Registration Form
Email *
First Name *
Last Name *
What Club do you play for? *
Date of Birth *
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/
DD
/
YYYY
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Preferred Playing Position *
2nd Preferred Playing Position *
3rd Preferred Playing Position *
Bats (Handed) *
Throws (Handed) *
Have you represented the DBA in the last 2 years? (2018 or2019) *
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