Plumstead Legion Baseball - (Plumstead, PA) - powered by LeagueLineup.com

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PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Cell Phone:

* Birthdate:

* Email:

Grade:

* High School:

* Graduation Year:

PARENT/GUARDIAN #1

Firstname:

Lastname:

* Dad's EMail:

* Dad's Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

* Mom's Email:

* Mom's Cell Phone:

* Other Team Playing For:

Going on Senior Week? *

Senior Week Start Date:

Senior Week End Date:

Going on Vacation? *

Vacation Start Date:

Vacation End Date:

* Primary Position:

* Other Positions:

Available Uniform Numbers:

Adult Medium - 1
Adult Large - 2 - 20
Adult X-Large - 21 - 27

* Uniform Number Choice (Pick 3):

I/we agree with the above *

* indicates required fields