Weslaco Softball Baseball

WSB and You - (P)rotecting (O)ur (N)ations (Y)outh.

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Registration Form - 2012

Fill in the form below and click the 'Send' button. The information provided will be used

to provide you with a pre-printed form at registration time.

---- Players Info ----

First Name:

Mid Name:

Last Name:

Birthdate:

Gender:

Home Phone:

Contact #:

EMail Address:

Mailing Address:

Physical Address:

City:

State:

Zip:

School:

Grade:

Player Lives With :

---- Fathers Info ----

Name:

Cell #:

Other #:

EMail:

---- Mothers Info ----

Name:

Cell #:

Other #:

EMail:

---- Insurance Info ----

Insurer:

Doctor:

Policy #: