2022 Winnipeg South Wolves AAA                     Player Information Sheet
Information to be kept by Coach and Manager.
Personal information received from this form will be used by the coach of the team for purposes that include, but are not limited to, providing emergency medical care and communicating information about the teams schedule, events and activities.  This information will not be shared with any other person or group.
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2022 Team: *
Player First Name: *
Player Last Name: *
Player Phone Number: *
Address: *
City: *
Postal Code: *
Date of Birth: *
MM
/
DD
/
YYYY
Height (ie 5'10"): *
Weight (ie 150lbs): *
Bats: *
Throws: *
Level Played in 2021: *
Team Played in 2021: *
School Attending (not required for Junior):
Grade (not required for Junior):
Parent #1 First and Last Name (not required for Junior):
Parent #1 Address (Type "Same" if same as player) (not required for Junior):
Parent #1 Phone (not required for Junior):
Parent #1 Email (not required for Junior):
Parent #2 First and Last Name (not required for Junior):
Parent #2 Address (Type "Same" if same as player) (not required for Junior):
Parent #2 Phone (not required for Junior):
Parent #2 Email (not required for Junior):
Player Manitoba Health Card Number (6-digits) *
Player Manitoba Health ID Number (9-digits *
Emergency Contact (name and relationship) *
Emergency Contact Phone *
Family Doctor Information (name, phone, clinic/hospital) *
Medical Information (Please list any allergies, medications or medical concerns) (type "none" if not applicable) *
Please provide any other information that might be used in an emergency situation that coaches should be aware of. (previous medical conditions, broken limbs) (type "none" if not applicable) *
Signature (Please check to provide your parental acknowledgement if player under 18, or personal acknowledgement if over 18, of the above information) *
Required
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