1 tryoutregistrationform 1

							                                                       Junior   Try Out                Registration Form
Player Information              Indicate which Squad     14     16     18          ABF No   : _____________

 Surname _____________________________                 Middle Name _______________________________

 Last Name _____________________________                        Date of Birth   _______/_______/_______

 Weight _______ Kgs Height ______ cms                   Bats Right / Left       Throws    Right / Left

 Players Email ______________________________________ Mobile Phone___________________
 Players School ______________________________________                  Year / Level    _________________

 Players Address : _____________________________________________________________________

 Suburb____________________________________________________ Post Code _______________



 1 Please attach a Copy of the players Birth           Certificate or Passport with this application

 2 Please Supply a Player    Medical Information form with this registration
             Showing Medical details and known allergies or pre-existing conditions (eg Asthma etc)


Player Baseball Information

  Club _____________________________________ Playing Grade / Division __________________

   Preferred Positions      1 ______________________________ 2 ______________________________


Parent / Guardian Information

  Mother Surname Name ____________________________ Given _____________________________

  Father Surname Name _____________________________ Given _____________________________

  Home Phone ___________________________ Mobile Phone _______________________________

  Family Email _______________________________________________


  Overseas Billets will be required for the Xmas Friendship Series from the Under 18 and 16 Teams

Please Return forms to : Baseball South Australia 109 Woodville Road Woodville S A 5011
                  Fax 08-8345 2366    or      email    admin@baseballsa.org.au

   Tryoutregistrationform                                                                     11/03/2012
                                                                                                            1
                               1