First Name:	MI:	Last Name:

Birthdate:	Age:	Social Security No.:

City:	State:	Zip Code:

Phone Number:	Email Address:

Position:	Bats:	Throws:	Height:	Weight:
	LeftRightSwitch	LeftRight

GPA (4.0):	Class Rank:	ACT:	SAT:	M:	V:

Year of Graduation:

High School:	Coach:

HS Address:	HS Phone:

Summer Team:	Coach:

Summer Team Phone:

Junior College:	Coach:

JUCO Address:	Coach's Phone:

JUCO GPA:	Will you graduate?	Date:
	YesNo

Professional Scouts:	Organization:	Phone:
1.
2.
3.