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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