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Bases Academy
Where Your Game Gets Better

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First name*

Last name*

Phone*

Email*

Address (Example 1234 West Ave. Los Banos, California 93635)*

Players First and last name*

Players Birthday *

Month

Day

Year

Players Jersey Number*

Player 2 first and last name (Only for parents with two players)

Player 2 Birthday (Only for parents with two players)

Month

Day

Year

Player 2 Jersey Number (only for parents with two players)

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