10U and 11U (Mosquito) All-Star Registraion (London District Baseball Association)

10U and 11U (Mosquito) All-Star Registraion

Please complete the form if you wish to attend the 10U and 11U All-star tryouts. Payment of $30 is due the first night.

10U or 11U^*

Required

Birth Year: 2009 or 2008^*

Required

Player's Name^*

Required

Player's Date of Birth^*

Required

Player's Address, City and Postal Code^*

Required

Player's Phone number^*

Required

Mother's Name^*

Required

Mother's Cell Phone^*

Required

Father's Name^*

Required

Father's Cell Phone^*

Required

Primary Email Address for player^*

Required

Position #1^*

Required

Position #2^*

Required

Position #3^*

Required

Bats - Left or Right^*

Required

Throws - Left or Right^*

Required

Current 2019 Team^*

Required

I acknowledge that I have read the 10U/11U Allstar information^*