10U Baseball

10U Baseball

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Name

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10U baseball for boys with practices in Clearwater and games played against teams in South Central Kansas, through the Quad County League.

10U Baseball

Child's Name*

First Last

Demographic*

Participant Shirt size*

Participant Shirt size- reconfirm*

I would like to volunteer as:*

Coach Shirt size*

Player/coach requests

Parent/Guardian's Name*

First Last

Parent/Guardian's Phone (area code + phone number)*

Parent/Guardian's Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact other than Parent/Guardian*

Emergency Contact Phone (area code + phone number)*

Parent/Guardian Signature*

Total

This includes online convenience fee.

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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