HOME OF THE LONG ISLAND SHARKS BASEBALL CLUB - (Manorville, NY)

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Please note that we are the Sharks from eastern Suffolk Long Island

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Main Phone:

* Birthdate:

Gender:

Grade:

Requested Division/Team (Age of player as of May 1st of this year):

Bats:

Right

Left

Switch

Throws:

Right

Left

* Primary Position:

Secondary Position:

* Graduation Year:

High School:

Team Played for Last or Current team:

References from prior Coaches (name and phone number):

PARENT/GUARDIAN

Firstname:

Lastname:

* EMail:

Home Phone:

Work Phone:

Cell Phone:

The information above is accurate.

I/we agree with the above *

* indicates required fields