Heart and Soul Athletic Club

Athlete Information Intake Form • HeartandSoulAthletic.com

Press On - Armored Up - Heart and Soul

Fields marked * are recommended.

ATHLETE NAME

First Name

Middle Name

Last Name

DOB (MM/DD/YYYY)

BASEBALL INFO

POS 1

POS 2

Height

Weight

SCHOOL / RECRUITING

Current School

College Commit

ATHLETE CONTACT

Cell

Email

Social Media

PARENT(s) / GUARDIAN(s)

Parent 1 Name

Parent 1 Cell

Parent 1 Email

Parent 2 Name

Parent 2 Cell

Parent 2 Email

APPAREL / GEAR SIZES

Jersey Size

Shirt

Pant Size

Short Size

Shoe Size

Cap Size

INSURANCE

Insurance

Insurance Provider

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Emergency Contact Phone

Alternate Phone

Emergency Contact Email

Submitting will send your responses to the server endpoint /submit . If you're not running the server, it will show an error (the print button still works).

Contact: Rodney Davis | 562-732-8602 | rdavis6279@gmail.com | @rdmlbscout

Heart and Soul Athletic Club

Athlete Information Intake Form • HeartandSoulAthletic.com

Press On - Armored Up - Heart and Soul

Fields marked * are recommended.

ATHLETE NAME

First Name

Middle Name

Last Name

DOB (MM/DD/YYYY)

BASEBALL INFO

POS 1

POS 2

Height

Weight

SCHOOL / RECRUITING

Current School

College Commit

ATHLETE CONTACT

Cell

Email

Social Media

PARENT(s) / GUARDIAN(s)

Parent 1 Name

Parent 1 Cell

Parent 1 Email

Parent 2 Name

Parent 2 Cell

Parent 2 Email

APPAREL / GEAR SIZES

Jersey Size

Shirt

Pant Size

Short Size

Shoe Size

Cap Size

INSURANCE

Insurance

Insurance Provider

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Emergency Contact Phone

Alternate Phone

Emergency Contact Email

Submitting will send your responses to the server endpoint /submit . If you're not running the server, it will show an error (the print button still works).

Contact: Rodney Davis | 562-732-8602 | rdavis6279@gmail.com | @rdmlbscout

Heart and Soul Athletic Club

Athlete Information Intake Form • HeartandSoulAthletic.com

Press On - Armored Up - Heart and Soul

Fields marked * are recommended.

ATHLETE NAME

First Name

Middle Name

Last Name

DOB (MM/DD/YYYY)

BASEBALL INFO

POS 1

POS 2

Height

Weight

SCHOOL / RECRUITING

Current School

College Commit

ATHLETE CONTACT

Cell

Email

Social Media

PARENT(s) / GUARDIAN(s)

Parent 1 Name

Parent 1 Cell

Parent 1 Email

Parent 2 Name

Parent 2 Cell

Parent 2 Email

APPAREL / GEAR SIZES

Jersey Size

Shirt

Pant Size

Short Size

Shoe Size

Cap Size

INSURANCE

Insurance

Insurance Provider

EMERGENCY CONTACT

Emergency Contact Name

Relationship

Emergency Contact Phone

Alternate Phone

Emergency Contact Email

Submitting will send your responses to the server endpoint /submit . If you're not running the server, it will show an error (the print button still works).

Contact: Rodney Davis | 562-732-8602 | rdavis6279@gmail.com | @rdmlbscout