Baseball Questionnaire

Baseball Questionnaire
Head Coach: Chris Rateike

Assistant Coach: Wilson Ehrhardt
Personal Information
Full Name:*

First NameLast Name
Middle NamePreferred Name
E-mail:*
Facebook Email:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
Mobile/Alt. Phone:

Area CodePhone Number
Date of Birth:*
Place of Birth:
Hobbies:
Parent/Guardian Contact Information
Name*

First NameLast Name
Relationship*
E-mail
Home Phone:*

Area CodePhone Number
Mobile Phone:*

Area CodePhone Number
College Attended:
Employer:
Occupation:
Athletic Information
Position 1:
Position 2:
Height:*
Weight:*
Throws:
Bats:
Scouted By (Name, Organization, Phone):
Scouted By (Name, Organization, Phone):
Please list the top four uncommitted prospects on your team or other teams:
Name
Prospect 1
School
Graduation Year
Name
Prospect 2
School
Graduation Year
Name
Prospect 3
School
Graduation Year
Name
Prospect 4
School
Graduation Year
Summer/Select Coach Information
Your Coach:
Name

First NameLast Name
E-mail
Mobile Phone:

Area CodePhone Number
Summer/Select Team Information
Team Name:*
Phone Number

Area CodePhone Number
School Coach Information
Your Coach:
Name*

First NameLast Name
Title:
E-mail*
Work Number:*

Area CodePhone Number
Mobile Phone:

Area CodePhone Number
School Information
School Name: *
District: *
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
FAX Number:

Area CodePhone Number
Website:
Should be Empty:

Baseball Questionnaire

Personal Information

Parent/Guardian Contact Information

Athletic Information

Summer/Select Coach Information

Summer/Select Team Information

School Coach Information

School Information