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PLAYER REGISTER

Please enable JavaScript in your browser to complete this form.

Please complete as much information as you can so we have all the info needed to communicate with you.

Please choose which tryout date you plan on attending:

Thursday, November 21st 6:00pm - 8:00pm
Saturday, November 23rd 2:00pm - 4:00pm
Sunday, November 24th 2:00pm - 4:00pm
Private tryout at a later time.

Player Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Primary Email *

Date of Birth *

ex: 05/01/2017

Age Trying Out For *

**Age cutoff date is May 1st for each age division**

Current Grade

Current School

Check all positions played

Pitcher
Catcher
First Base
Second Base
Third Base
Shortstop
Left Field
Center Field
Right Field
Designated Hitter

Jersey Size

Hat Size

Jersey Number Preference 1

Jersey Number Preference 2

PARENT/GUARDIAN INFORMATION

Parent/Guardian #1 *

First

Last

Address (if different from player)

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone

Parent/Guardian Phone /

Parent/Guardian #2

First

Last

Address (if different from player)

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone

Consent. *

I hereby consent to my child participating in 5G Prime Organization. By this consent, I, for myself and for my minor child, release and forever discharge the 5G Prime Organization from any and all claims, demands, and actions, or any and every nature whatsoever that I may have for any loss, damage, or injury sustained by me and /or my child before, during, and after team activities.

Date / Time

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Contact

Tel: 864.641.9256
Email: jeff@5g-prime.com

Address

5G Sports Inc.
297 Broadcast Drive
Spartanburg, SC 29303