2025 MIDDLE SCHOOL CLINIC REGISTRATION
Please complete all sections of this form.
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Email *
Player's Last Name *
Player's First Name *
Player Birth Day *
MM
/
DD
/
YYYY
School *
Grade *
SCHOOL Team you tried out/played for last year *
ADDRESS *
House Number and Street Name
City *
Zip Code *
Player PENNSBURY/SCHOOL Email Address *
"School-ID-number@pennsburysd.org" - Type in everything including @pennsburysd.org
Player Email Address If you do NOT have a PSD account
Player Cell Phone Number
If you want to be included in our REMIND APP messages
Parents' Names *
Parent/Guardian 1 Email Address *
Parent/Guardian 2 Email Address
Parent/Guardian 1 Cell Phone Number *
For emergencies at the clinic
Parent/Guardian 2 Cell Phone Number
For emergencies at the clinic
PRIMARY POSITION *
Position 2 *
Position 3 *
Bats *
Throws *
Primary SPRING/SUMMER Club Baseball Team *
Primary FALL Baseball Team
If applicable
Fall SHOOL Sport and/or Winter SCHOOL Sport
If applicable
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