12U Dearborn Revolution
Tryout registration form
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Choose Tryout session you can attend *
Birthdate *
MM
/
DD
/
YYYY
First name *
Last name *
Street Address, City, ST, ZIP *
Parent or Guardian 1 (Full Name) *
Phone number *
Email *
Parent or Guardian 2 (Full Name)
Phone number *
Email *
Have you played in Dearborn Baseball? *
If yes to the above question who was your last coach?
How many years have you been playing baseball? *
What position(s) do you like to play? *
Required
What winter sports does your child play? *
Required
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