Central Ontario Baseball Association (COBA)

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* Surname:

* First Name:

* Date of Birth:

* Address:

* Home Phone:

Alternate Phone:

email:

Weight:

Height:

Home Team:

Coach:

Do you bat Left or Right:

Primary position played:

check if you are a regular pitcher?

Are you left or right handed?:

check if you are available August 13-16 to travel to Ottawa?

check if you will require transportation to and from Ottawa?

Additional information coach should be aware of::

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