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2. 

3. Baseball Player Registration Form - Fall 2023

   Saturdays, August 26 - October 14

   This is an all-inclusive program for all ages and abilities. Teams and schedules will depend on registration. Games will be played on Saturdays at 9:30 a.m., 10:30 a.m. and 11:30 a.m.

   We can't wait to see you on the field! 
   PLAY BALL!

5. Player Name*
6. Player Age*
8. Parent/Guardian Name*
9. Email Address*
11. Address
12. City, State, Zip
14. Phone Number*

16. The 2023 Fall League t-shirts will be the same orange t-shirts as the 2023 Spring League. If you already have an orange t-shirt, please plan to wear it this fall. If you do not have an orange MLOD t-shirt, please select "yes" and let us know what size you need!

18. Do you need a t-shirt?*
    -- Select One --NoYes
20. T-Shirt Size*
    -- Select One --Youth XSYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXL
22. Photo & Video Release

    1. I hereby grant permission to the City of Dubuque to use photographs and/or video of this player during the Miracle League of Dubuque (MLOD) 2023 Fall Baseball League to be displayed on the field's jumbotron and in publications, online, and other communications related to the mission of the Miracle League of Dubuque.

    
    

24. Special concerns about your child that might aid us in providing a better play experience?
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field