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Louisiana Fever
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PLAYER INFORMATION
*
Player's Name:
Street:
City:
State:
Zip Code:
Home Phone:
*
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
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Email:
Gender:
M
F
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
PARENT/GUARDIAN
Parent's Name:
EMail:
Cell Phone:
MEDICAL / EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
Insurance Carrier:
Positions Played *
Catcher
Pitcher
1B
2B
3B
Short Stop
OF
IF
Utility
Slapper
*
Travel Teams Played for in the past 3 years:
I/we agree with the above
*
*
Signature of Parent/Guardian if under 18::
Full Name of Player::
Please list any Physical Limitations::
* indicates required fields
