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Personal Information
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First Name:
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Middle Name:
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Last Name:
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Address:
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City:
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Province / State:
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Country:
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Postal / Zip Code:
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Phone:
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Birthday:
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E-mail:
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Academic Profile
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High School
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College / University
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School Name:
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City:
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State/Province:
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Graduation Year:
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Athletic Profile
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Height:
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Weight:
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Bat:
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Right
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Left
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Switch
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Left
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Right
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Throw:
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Velocity:
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Primary Position:
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Secondary Position(s):
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Position Players
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Batting Average:
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Home Runs:
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Fielding Average:
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Pitchers Only
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Won:
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Lost:
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Innings Pitched:
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Base on Balls:
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Strikeouts:
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ERA:
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High School/
Junior College Coach:
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Coach's Phone:
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Previous Summer
Team & League:
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Summer Coach:
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Summer Coach's
Phone:
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List any Dodger Players (past/present) you know:
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List any and all athletic honours received:
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Hobbies and Interests:
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Other persons we should contact about you
(include phone numbers):
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What are you looking for in a summer baseball
program:
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What is your availability? When do you return
from / go back to school?
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