Division: SR / MJ / M1 / M2 / TBall Player Shirt Size:
PLAYER’S INFORMATION
YXS / YS / YM / YL / YXL / AS / AM / AL / AXL
Player’s Name
Age
Address
DOB
City
Home Phone
Charter #343-17-04 P.O. Box 62 Highlands, Texas 77562
Zip
School
PARENT / GUARDIAN INFORMATION
Grade
Best to Contact:
Father’s Name
Mother’s Name
Address
Address
City
City
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
E-mail
E-mail
Father / Mother
Please circle any of the following for which you may be interested in volunteering: Manager Coach Team Mom HLL Auxiliary
REGISTRATION Minor 2, Minor 1, Majors & Senior: T-Ball: $75 each child No. of Children T-Ball Age: Amount Paid: $
Receipt #:
Printed Name of Guardian Official use only: Received By:
Birth Certificate Verified:
$125 first child / $75 each additional child Late Fee: $10 per family No. of Children M2, M1, MJ & SR: Received By: Signature / Date Address Verified: Date: