TSA Game Player Questionnaire — Texas Scouts Association

Golf Tournament

Deron Rombach Scholarship

TSA ALL STAR GAME

Golf Tournament

Deron Rombach Scholarship

TSA ALL STAR GAME

TSA GAME PLAYER QUESTIONNAIRE

First Name *

Middle Name or Initial

Last Name *

Street Address *

City *

State *

Zip *

Email Address *

Cell *

(###)

###

####

Birthdate *

MM

DD

YYYY

Height *

Weight *

Glasses/Contacts *

NONE

Glasses/Far-Sighted

Glasses/Near-Sighted

Contacts/Far-Sighted

Contacts/Near-Sighted

Bats *

Left

Right

Switch

Throws *

Left

Right

Switch

Position *

LHP

RHP

C

1B

2B

3B

SS

LF

CF

RF

High School *

High School Coach's Name *

First Name

Last Name

High School Coach's Cell

(###)

###

####

Summer League

Summer League Coach's Name

First Name

Last Name

Summer League Coach's Cell

(###)

###

####

Medical History

Please list any surgeries or injuries, along with the associated dates of the surgeries or injuries.

Father's Name

First Name

Last Name

Mother's Name

First Name

Last Name

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