Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Son's Name *

First Name

Last Name

Son's Birthdate *

MM

DD

YYYY

Position(s) your son plays *

Pitcher

Catcher

1B

2B

3B

SS

LF

CF

RF

Availability *

Saturday Games

Sunday Games

Agreement *

By checking the box below, you acknowledge your son is voluntarily trying out for travel baseball and you agree not to hold the Pella Heat or the City of Pella, responsible for any injuries your son may sustain while participating.

Agree