East Side Little League
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Player Name:
Player Birthdate:
School Attending in Spring:
Previous Year Team
Name or Manager:
Gender:
Parent/Guardian Name:
Parent/Guardian Name:
Address:
 
City:
Township:
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State:
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Zip Code:
Email:
Confirm Email:
Home Phone:
Cell Phone:
Work Phone:
Other Phone:
Volunteer?
  In what capacity:
Special Notes/Communication to Director or Player Agent: