REGISTRATION FORM | Trinity Youth B.A.

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TRINITY YOUTH BASEBALL

HOME OF THE TRINITY HILLERS YOUTH BASEBALL ORGANIZATION

Baseballs

TYBA Registration Form

To register, please take the time to fill out the information below.

Age Group

Player First Name

Player Last Name

Player Date of Birth * required

Address

Parent/Guardian Name

Parent/Guardian Email* (All League info is provided via email)

Phone

Relationship to Player

Parent/Guardian #2 Name

Parent/Guardian #2 Email

Phone #2

Any known Allergies

Relationship to Player

Medications

Illness or Injuries

Physician Name

Physician Phone #

Medical Insurance Group & Policy #

Any other health conditions or concerns?

Please Upload copy of childs Birth Certificate

Upload File

Upload supported file (Max 15MB)

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