Sunday September 05 , 2010

Fall 2010 Player Registration

Please fill in as much information as possible. Fields with * Are Required.
 

 PLAYER & PARENT INFO
* Players Full Name
* Graduation Year
* DOB
    
* Home Address
* City
* State
    
Home Phone
* Player Cell Phone
* Zip
    
Father Name
Father Ocp.
Name of your Coach
referring and recommending
you to the Florida Pokers
Father Cell
* Email
Mother Name
Mother Ocp.
Mother Cell
Mother Email
 

 PLAYER ACADEMIC INFO
* High School
City
State
    
HS Coach Name
HS Coach Phone
ACT Score
    
Travel Team Name
Travel Team Coach
PSAT Score
    
Cumulative GPA
SAT Score
Out Of


   
Register for NCAA Clearing House?


If Yes, Did You Clear?


   

 PLAYER PERSONAL INFO
Height
Weight
Uniform_# (please list 3 #'s)
Pants Size
* Pri. Position
Sec. Position
Hat Size
Shoe Size
Bats

Throws

Shirt Size
    

 COLLEGIATE & SCOUTING INFO

Please list colleges and/or professional organizations that have been in contact with you.
College or Pro Org.
Contact Name
Phone
    
College or Pro Org.
Contact Name
Phone
    
Showcases you are planning on attending in the near future
Date
    
Showcases you are planning on attending in the near future
Date
    

 Fall 2010 PLAYER FEES & LIABILITY WAIVER
  • Please make checks payable to:

  • Florida Pokers Baseball

  • Please mail payment & Player Data Sheet to:
  • Florida Pokers Baseball
  • 17038 W. Dixie Highway, Suite 231
  • North Miami Beach, FL 33160
  • Fall 2010 Fees:
  • Position Players: $700
  • 2 Way Players: $700
  • Pitchers: $500
Authorization / Waiver of Liability

1. Florida Pokers provides secondary insurance only. Your insurance is primary.
2. Player Fees and/or Deposits are non-refundable.
3. I release and hold harmless the Florida Pokers Baseball with respect to any and all injuries, disability, loss or damage to any person and/or property.
4. I release and hold harmless the Florida Pokers Baseball from any and all liability incidental to my involvement and participation in this program, even if arising from the negligence of the Florida Pokers Baseball.
5. I have read and fully understand the terms and conditions.

 
   
 
(should the words be unreadable, selectabove)