Xtreme Chaos Gold Tryout
Tuesday 7/27 & Thursday 7/29 5:30-7:30 pm
Conklin Field. 4 Columbia Drive, Milford, CT 06460
Contact: Head Coach Fallon Bevino 203-993-0688 / bevino.fallon@gmail.com
Email *
Player Name *
Contact Email *
Previous Travel Team & Age Group *
Player Position (Select All That Apply) *
Required
What days will you attend? *
Required
Health Issues that Coach should know at time of Tryout
Emergency Contact Name *
Emergency Contact Phone # *
Important Information

Please fill out the Medical Release Form linked here:
https://drive.google.com/file/d/1I0Ea62SXnb9Yjl824v6s4iqa5rx7VgtO/view?usp=sharing

Please print, complete, & either scan & email back to bevino.fallon@gmail.com OR have it printed to hand to me on the day of tryouts.
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