BERKELEY 66 AND OVER SENIOR SLOW PITCH SOFTBALL - (Forked River, NJ)

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PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* Zip Code:

Land Line (Home Number) If different from your Cell Phone #:

Cell Phone #:

* Birthdate:

Email:

* SHIRT SIZE:

* PRIMARY DEFENSIVE POSITION:

* SECONDARY DEFENSIVE POSTION:

* Will you be taking a vacation during the playing season (Arp 25x to Middle of August):

DATES WHEN YOU ARE TAKING VACATION:

COMMENTS:

* Emergency Contact Name:

* Emergency Contact Phone Number:

I/we agree with the above *

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