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2024 West Georgia 15U - 19U Registration Form
Registration is $75 per player. Current 2024 Dixie Boys Players (13/14) registration is $50.
PLAYER INFORMATION
*
Legal First Name:
Legal Middle Name:
*
Legal Last Name:
*
Street:
*
City, State:
*
Zip Code:
*
Player Phone Number:
*
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
2004
2005
2006
2007
2008
2009
2010
2011
2012
*
School Attending:
*
Grade:
6
7
8
9
10
11
12
High School Graduate
PARENT/GUARDIAN #1
*
First Name:
*
Last Name:
*
EMail:
*
Primary Phone #:
Secondary Phone #:
Interested in volunteering/coaching/scoreboard:
*
Age Group:
15U
19U
*
Selection:
Individual Sign up
Team Sign up
*
How did you hear about us?:
*
Team Selections:
Individual Player (New players not yet on a team)
Columbus Sandlots
Devils
Jackets (19U)
Tri City Generals
Other
* indicates required fields
