Eden Prairie Fastpitch Association
2024 Summer Registration
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Player & Parent/Guardian Information
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HEADS UP Concussion Waiver
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Player & Parent/Guardian Information
Player Information
First Name:
*
Middle Name:
Last Name:
*
Date of birth:
*
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January
February
March
April
May
June
July
August
September
October
November
December
1
2
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5
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7
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31
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Gender:
*
Female
Unspecified
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School:
*
What grade is this player currently in?:
*
Make Selection
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Does the 7th grade player intend to play high school softball?:
Yes
No
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Address:
*
Address 2:
Zip / Postal Code:
*
City:
*
State / Province:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
PR
Other
Country:
*
United States
Canada
Other
Has this player ever played fastpitch softball before?:
*
Yes
No
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Does the player reside in the city of Eden Prairie?:
*
Yes
No
Clear Current Selection
Is this player a pitcher?:
*
Yes
No
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Is this player a catcher?:
*
Yes
No
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Does the player attend Eden Prairie Schools?:
*
Yes
No
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Parent/Guardian Information
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
*
Parent/Guardian Email:
*
hidden
Parent/Guardian Cell Phone:
*
Format XXX-XXX-XXXX
Parent/Guardian Home Phone:
*
Format XXX-XXX-XXXX
A special thank you to all the parents who serve as softball coaches (head coach or assistant coach) for your daughter's teams. Are you interested in taking a leadership role on your daughter's team?*:
*
Yes
No
Clear Current Selection
Please indicate how you are willing to help.:
*
Head Coach
Assistant Coach
Other
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Parent/Guardian 2 First Name:
Parent/Guardian 2 Last Name:
Parent/Guardian 2 Cell Phone:
Format XXX-XXX-XXXX
Parent/Guardian 2 Home Phone:
Format XXX-XXX-XXXX
Parent/Guardian 2 Email:
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