Winslow Youth Baseball Association

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

Home Phone:

* Birthdate:

* Grade:

* Firstname:

* Lastname:

* EMail:

* Home Phone:

* Work Phone:

* Cell Phone:

* Firstname:

* Lastname:

Email:

* Home Phone:

* Work Phone:

* Cell Phone:

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Policy #:

* Are you interested in being an Assistant Coach?:

Yes

No

* Are you interested in being a Head Coach?:

Yes

No

* What size does your child wear?:

Youth XS

Youth S

Youth M

Youth L

Youth XL

* Are you interested in the following volunteer opportunities?:

Concession stand (Based on your availability)

Field Maintenance (under the direction of our Field Manager)

Not at this time

* Photo/Video Consent:

At times photos/videos of our players learning teamwork, sportsmanship, through Teeball on the field will be taken. Please advise whether or not photos/videos of your child may appear on social media or a website. Do we have your consent?

Yes

No

I/we agree with the above *

Please contact Tiffany at 856-580-1805 with any questions:

Tee Ball (Girls & Boys) Fall 2026