Gold Star Post 191 American Legion Baseball - (Mt. Airy, MD)

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2026 Junior (Prime) Team

Player Info

* Last Name:

* First Name:

* Birth Date:

* Grade:

* School:

* Home Phone:

* Cell Phone:

* Service Provider:

* Email:

* Street Address:

* Town:

* Zip Code:

Uniform

* Hat Size:

* Jersey:

* Jersey Number Preference (List 3):

* Shorts:

* T-Shirt:

Parent 1 Info

* First Name:

* Last Name:

Home Phone:

Cell Phone:

* Service Provider:

* Email:

Street Address:

Same as Player

Other (Enter Below)

House No. and Street:

Town:

Zip Code:

Parent 2 Info

First Name:

Last Name:

Home Phone:

Cell Phone:

Service Provider:

Email:

Street Address:

Same as Player

Other (Enter Below)

House No. and Street:

Town:

Zip Code:

Volunteer

All families are required to assist the club in at least one area. Please check the item(s) below that you will volunteer for:

Fundraising (Banners, Raffles, etc.)

Concessions / Team Picnic

Field Maintenance

Community Service

Medical Information

Name of Medical Insurance Company:

Name of Policy Holder:

Policy Number:

Group Number:

Player's Doctor Name and Phone Number:

Emergency Contact Other Than Parent (Name/Number):

Comments (Health Issues, Other):

* indicates required fields