Fall 2022/Spring 2023 12U Potomac Riverdogs Interest Form
Thank you for your interest in the Potomac Riverdogs travel baseball program.  Please complete the brief interest form below and a coach will contact you shortly.  For more information, please contact:

12U Blue Team - Coach Mike Schafer at umterps94@gmail.com or 301-351-6843
12U Black Team - Coach J.T. Kirkland at jtkirkland@gmail.com or 703-209-3435  

-  All players trying out should wear baseball pants, cleats and a hat. They should bring their baseball glove, batting helmet, bat and water. Catchers should bring catcher's gear.

-  *** Players should show up 30 minutes prior to their tryout time to go through registration and to stretch/warmup.

If you have any questions please contact us at: umterps94@gmail.com

Check out our website for more information: https://www.potomacriverdogs.com

Note: to determine which age group your player should try out for go to the NVTBL age policy page  https://www.nvtblbaseball.org/page/show/3066236-nvtbl-age-policy

*** NOTICE:  BY COMPLETING THIS REGISTRATION FORM YOU ACKNOWLEDGE THAT THERE IS RISK OF INJURY ASSOCIATED WITH ATHLETIC PLAY AND RISK OF ILLNESS ASSOCIATED WITH COVID-19.  FURTHER, YOU AGREE THAT DULLES LITTLE LEAGUE, NOR THE POTOMAC RIVERDOGS, NOR ANY OF ITS REPRESENTATIVES SHALL BE LIABLE FOR ANY INJURY OR  ILLNESS THAT MAY OCCUR AS A RESULT OF PARTICIPATION IN THIS TRYOUT.  TRYOUTS DO NOT CONSTITUTE AN OFFER TO JOIN A TEAM AND ANY SUCH OFFER WILL BE MADE AT THE DISCRETION OF OUR COACHES.
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Player First Name *
Player Last Name *
Player date of birth - NOTE: Players at this age group are generally born between May 1, 2010 and April 30, 2011. IF YOUR PLAYER IS BORN AFTER APRIL 30, 2011 HE/SHE SHOULD CONSIDER ONE OF OUR MORE AGE APPROPRIATE TEAMS. *
MM
/
DD
/
YYYY
Does player have Travel ball experience? *
Player baseball experience (Little League, Travel, number of seasons, etc.) *
Which Little League does player play for? *
Required
Player preferred position(s) - check all that apply *
Required
Parent's Names *
Parent's email address(s) *
Parent's mobile number(s) *
Is parent(s) interested in any of the following opportunities? (check all that apply)
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