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Thank you for your interest in registering for the Bolden Little League.
GENDER:
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MALE
FEMALE
FIRST NAME:
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LAST NAME:
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PHYSICAL ADDRESS (LINE 1):
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PHYSICAL ADDRESS (LINE 2):
CITY:
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STATE:
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ZIP CODE:
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If you are renting, is any portion of your rent subsidized (Government Housing, HUD, Section 8, Section 42, VASH, etc.)?
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YES
NO
Shoe Size
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Shirt Size
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Pants Size
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Date of Birth:
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WHAT SCHOOL DOES THE PLAYER ATTEND?:
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DESIRED UNIFORM NUMBER (1st OPTION, IF AVAILABLE):
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DESIRED UNIFORM NUMBER (2nd OPTION, IF AVAILABLE):
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DESIRED UNIFORM NUMBER (3rd OPTION, IF AVAILABLE):
*
NAME OF PRIMARY GUARDIAN (1st POINT OF CONTACT):
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EMAIL ADDRESS OF PRIMARY GUARDIAN (1st POINT OF CONTACT):
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TELEPHONE NUMBER OF PRIMARY GUARDIAN (1st POINT OF CONTACT):
*
NAME OF SECONDARY GUARDIAN (2nd POINT OF CONTACT):
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EMAIL ADDRESS OF SECONDARY GUARDIAN (2nd POINT OF CONTACT):
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TELEPHONE NUMBER OF SECONDARY GUARDIAN (2nd POINT OF CONTACT):
*
WITH WHOM DOES THE CHILD LIVE?:
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BOTH GUARDIANS
PRIMARY GUARDIAN
SECONDARY GUARDIAN
PROOF OF RESIDENCY IS REQUIRED. You may either scan or simply use your smart phone to upload a picture of said proof (eg. utility bill, mortgage document, lease agreement, etc.). This may also be provided in person. IMAGE MUST BE UNDER 5MB.