UXBRIDGE GRIZZLIES BASEBALL MOSQUITOS DIVISION
Please fill out this form in order to help ensure the Grizzlies have the appropriate information for your child.
Players first name *
Your answer
Players Last name *
Your answer
Does your child have any other medical conditions that coaches need to know about? *
Your answer
Players birthdate *
MM
/
DD
/
YYYY
Does your child have any food allergies? *
Does your child need an Epi Pen? *
Parent last name *
Your answer
Parent first name *
Your answer
Parent cell phone number *
Your answer
Parent email *
Your answer
Please identify the area of Uxbridge you reside in, if not please type TOWN NAME in other box *
If you fill in the other box please notify the coach as you may require a release.
If your child has a particular position they want to play please share *
please pick more than one if you would like
Required
What team did your child play for last year? *
Your answer
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