2018 - 2019 Top Tier North 9U-16U Tryouts

Player Information

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

Parent / Guardian Contact Info

• Mother / Guardian
• Name
  Email
  Phone
• Father / Guardian
• Name
  Email
  Phone

Address

• Street *
  City *
• State *
  Zip Code *

School Information

• School *
  School City *
• School State *
  Class *

  Select 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032

Other Information

• Primary Position *

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

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

  SelectR/RL/RSwitch/RL/LR/LSwitch/L
• Height *

  Select 4’0" 4’1" 4’2" 4’3" 4’4" 4’5" 4’6" 4’7" 4’8" 4’9" 4’10" 4’11" 5’0" 5’1" 5’2" 5’3" 5’4" 5’5" 5’6" 5’7" 5’8" 5’9" 5’10" 5’11" 6’0" 6’1" 6’2" 6’3" 6’4" 6’5" 6’6" 6’7" 6’8" 6’9" 6’10" 6’11" 7’0" 7’1" 7’2" 7’3" 7’4" 7’5" 7’6" 7’7" 7’8" 7’9" 7’10" 7’11"
  Weight *

  lbs
• Baseball Highlights *
  Academic Highlights *
• Twitter Handle

• How did you hear about us? *
• * I hereby authorize Top Tier to act for me in judgment in any emergency requiring medical attention. I hereby waive, release and indemnify Top Tier and The Max McCook Athletic Center 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.
• * I hereby give my full permission for the use of my name, picture, image, video, likeness, actions, voice, or other personally identifiable information, in whole or in part, individually or in conjunction with other images, captured by any means as part of my participation in any Top Tier and/or an affiliate sponsored event. I waive all rights of privacy or compensation, which I may have in connection with such use of my name, picture, image, video, likeness, actions, voice or other personally identifiable information, to be used by Top Tier and/or its affiliates and/or sponsors for promotional purposes in any media whatsoever.