TEAM________________ ACTUAL YEAR_______ <<MALE/FEMALE>> AMOUNT PAID_________

CHECK #________

(FOR OFFICE USE ONLY)

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Cobras Tryout Form

2008

LAST NAME__________________________ FIRSTNAME_______________________

BIRTHDATE______________ (YYYY /MM/ DD) PLAYER'S CELL #__________________

PLAYERS EMAIL ADDRESS: _______________________________________________

MAILING ADDRESS (P.O. Box / Street address)___________________________________________

CITY _________________________ STATE __________ ZIP _______________

HOME PHONE_____________________ EMAIL_________________________________________

MOTHER_______________________________________________

Email address: _________________________________________

CELL #___________________ WORK #____________________

FATHER________________________________________________

Email address: __________________________________________

CELL #___________________ WORK #____________________

GRADE IN SCHOOL AS OF AUG. 2008______________________

COPY OF BIRTH CERTIFICATE _____YES _____NO

ALL NEW PLAYERS MUST PROVIDE A BIRTH CERTIFICATE

• RETURNING PLAYERS WILL BE NOTIFIED AT TRYOUTS IF A BIRTH CERTIFICATE IS NEEDED

Tryout Fee: $10.00

This covers the application fee and the cost of the t-shirt.

If you make a team, the first GCCSA payment of $90.00 will be Due June 1st

You will be notified by phone within 72 hours of the last tryout session.

Team members will also be posted on the website.

Make checks payable to: GCCSA--Bring cash/check and forms to tryouts