REBL Registration Form

Please provide the following information:

      First Name 
       Last Name 
  Street Address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal Code 
         Country 
      Home Phone 
          E-mail 

Please enter your age and date of birth.

             Age  Date of Birth (mm/dd/yr) 

Select the positions you are most comfortable playing

Pitcher
Catcher
First Base
Second Base
Third Base
Shortstop
Left Field
Center Field
Right Field

Did you play High School baseball?

Yes No

If you played College baseball, please enter the number of years and the date last played

If you played Minor League baseball, please enter the number of years and the date last played

If you played Adult baseball, please enter the name of the league and the year last played

Please enter the year and league that you last played baseball

How did you hear about the Redwood Empire Baseball League? (Press Democrat Ad, Website, Word of Mouth, etc.)