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2023-2024 LDTABA Tryout Registration
PLAYER INFORMATION
*
Player Last Name:
*
Player First Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Gender:
M
F
*
Player's Grade For 2023-2024 School Year:
1
2
3
4
5
6
7
8
9
10
11
12
*
School Attending:
Lower Dauphin Middle School
Lower Dauphin High School
East Hanover
South Hanover
Nye
Conewago
Londonderry
Other
*
Please Select Your Tryout Date:
10/4- Tuesday
10/29- Sunday
Both Dates 10/4 and 10/29
*
Please indicate your tryout status:
I have not attended any of the previous tryouts
I have attended one previous tryout
I have attended both of the previous tryouts
PARENT/GUARDIAN #1
*
Parent/Guardian #1 Name:
*
EMail:
Cell Phone:
PARENT/GUARDIAN #2
*
Parent/Guardian #2 Name:
*
Email:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
Relationship to Player:
Insurance Carrier:
WAIVER INFORMATION
LIABILITY WAIVER
I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of Lower Dauphin Travel & All-Star Baseball Association (LDTABA). Recognizing the possibility of physical injury associated with baseball and in consideration for LDTABA accepting the registrant for its baseball programs and activities, I HEREBY RELEASE, DISCHARGE, and/or INDEMNIFY LDTABA and associated personnel, including the owners of fields and facilities utilized for LDTABA activities against any claim by or on behalf of the registrant as a result of the registrant’s participation in the LDTABA activity.
By selecting this checkbox, I/we agree to the terms in the Liability Waiver
*
* indicates required fields