Wufoo
Long Island Junior Ducks Summer 2012
-NO REFUNDS ONCE YOUR FIRST PAYMENTS IS MADE.
-YOU MAY NOT SUBTRACT ANY ITEMS TO DECREASE YOUR PAYMENT
-ALL SKILLS CAMP, TOURNAMENTS,GREEN/ORANGE DAY, CAN BE CHANGED OR CANCELLED AT THE DISCRETION OF THE LONG ISLAND DUCKS AMATEUR BASEBALL STAFF
-Any New Players who comes down to tryouts on October 16th will be charged a $40 Stadium Tryout Fee. This fee is to be paid in cash day of tryout at front desk upon check-in. This fee is non-refundable if player is not placed on roster or decides himself not to roster.
***Fee covers stadium insurances, ground crew , field rental.***
-NO METAL CLEATS to be worn on concourse of stadium.
-Also PLEASE check www.ducksbaseball.org for any weather related issues morning of Oct 16.
Player Name
*
First
Last
Player Home Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
----
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Home Phone Number
*
###
-
###
-
####
Player Cell Phone Number
###
-
###
-
####
Parent/Guardian Name
*
First
Last
Cell Phone Number
*
###
-
###
-
####
Parent/Guardian Name
First
Last
Cell Phone Number
###
-
###
-
####
Contact Email Address Parent
*
Additional Email Address (optional)
Only fill out this field if you want information to be dispersed to an additional email address
School
*
Anticipated Year of High School Graduation
2012
2013
2014
2015
2016
2017
2018
2019
2020
Height
Weight
Previous Travel Team
*
Position
Pitcher
Yes
No
Throws
Right
Left
Bats
Right
Left
Age as of May 1, 2012
*
Player Birthdate
*
MM
/
DD
/
YYYY
Birth Certificate
Uniform Number Choice #1
Uniform Number Choice #2
Uniform Number Choice #3
Is player 12 or under
Yes
No
Wood Bat Size
31 inch
32 inch
33 inch
Cap Size
Extra Small/Small
Small/Medium
Large/Extra Large
Pants Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult Extra Extra Large
Adult Extra Extra Extra Large
Dry Fit Jersey Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult Extra Extra Large
Adult Extra Extra Extra Large
I have read and I agree to terms and conditions
-NO REFUNDS ONCE YOUR FIRST PAYMENTS IS MADE.
-YOU MAY NOT SUBTRACT ANY ITEMS TO DECREASE YOUR PAYMENT
-ALL SKILLS CAMP, TOURNAMENTS,GREEN/ORANGE DAY, CAN BE CHANGED OR CANCELLED AT THE DISCRETION OF THE LONG ISLAND DUCKS AMATEUR BASEBALL STAFF
-Any New Players who comes down to tryouts on October 16th will be charged a $40 Stadium Tryout Fee. This fee is to be paid in cash day of tryout at front desk upon check-in. This fee is non-refundable if player is not placed on roster or decides himself not to roster.
***Fee covers stadium insurances, ground crew , field rental.***
-NO METAL CLEATS to be worn on concourse of stadium.
-Also PLEASE check www.ducksbaseball.org for any weather related issues morning of Oct 16.
*
Yes I read the Terms and Conditions above
Do Not Fill This Out