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T-Ball 101 - Fall 2018
T-Ball Registration
Email address *
Child's name *
Your answer
Child's age *
Your answer
Shirt Size *
Mother's Name
Your answer
Father's Name
Your answer
E-mail Address
Your answer
Primary Phone *
Your answer
Secondary Phone
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Child's Diagnosis *
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Child's Doctor *
Your answer
Emergency Contact *
Your answer
Emergency Phone *
Your answer
Please read and select all of which will apply in order to better serve your child: *
Required
Please provide any helpful strategies for our staff to assist your child in adjusting:
Are there any other special considerations you would like us to know?
Your answer
Has there been any changes in your child’s medical condition or status since the previous program?
Your answer
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