Top Prospect Showcase (INVITE ONLY) 6/19/12

Personal Information

• First Name *
  Last Name *
• Birth Date * (YYYY-MM-DD)
  Email Address *

Address

• Street *
  City *
• State *
  Zip Code *
• Home Phone *
  Cell Phone *

School Information

• School *
  Class *

  Select20122013201420152016
• Primary Position *

  Select RHP LHP 1B SS 3B C 2B/MIF OF
  Secondary Position

  Select RHP LHP 1B SS 3B C 2B/MIF OF
• Bats/Throws *

  SelectR/RL/RSwitch/RL/LR/LSwitch/L
• Height *
  Weight *
• Baseball Highlights *
  Academic Highlights *

• How did you hear about us? *
• I hereby authorize The Prep Baseball Report to act for me in judgment in any emergency requiring medical attention. I hereby waive, release and indemnify The Prep Baseball Report LLC, Prep Baseball Report & Partners, PBR Missouri LLC, PBR Pennsylvania LLC, PBR Michigan LLC, PBR Indiana LLC, PBR Ohio LLC, and Pastime Tournaments of all legal responsibilities in the event of injury to my child. I know of no mental or physical problems, which might affect my child's ability to safely participate in this camp. I will be responsible for any medical charges in connection with his/her attendance of the camp, before, during or while leaving any program. Please list any health or medical problems of registrant. *
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