2014 LOCAL PLAYER TRYOUT REGISTRATION FORM
APPLICATION INSTRUCTIONS
Mail all completed application materials to the following address:
Bakersfield Jam
Attn: Tryout Camp
1400 Norris Rd
Bakersfield, CA 93308
Or fax all completed application materials to:
Or scan via email to Assistant General Manager, Brian Levy:
(661) 615-6555
blevy@[Link]
Please be sure to complete the following forms in their entirety and include them in the mailing:
2014 Local Player Tryout Registration Form (completed)
Player Release & Eligibility Form (completed & signed)
$150 Registration Fee in form Money Order / Cashiers Check (NO PERSONAL CHECKS) made payable to
Bakersfield Jam OR Credit Card Authorization Form (if paying by credit card)
All materials should be sent via traceable carrier (e.g., FedEx, UPS, DHL) to ensure delivery.
DEADLINE: ALL APPLICATIONS MUST BE RECEIVED BY TUESDAY, SEPTEMBER 23, 2014.
PERSONAL & EMPLOYMENT DATA:
First Name ________________________ Last Name ______________________ Middle Initial _____
Email Address______________________________________________________________________
Home Address _____________________________________________________________________
City ____________________________________________ State ______________ Zip ___________
Home Phone # _____________________Cell Phone # ______________________________
Social Security # __________________________ Birthdate ________________ Age _____________
State of Birth ____________ Marital Status _________________ Height _________ Weight _______
Drivers license #_______________________________ State of License ________________________
U.S. Citizen Yes [ ] No [ ] Other ________________________
Employer and/or School __________________________________ Work/School # _________________
Occupation ________________________________________________ Full Time [ ] Part-Time [ ]
Have you ever been arrested? Yes [ ] No [ ]
If yes, please provide details_________________________________________________________________
What mode of transportation will you be utilizing for your travel?
Flying [ ] Driving [ ]
EDUCATIONAL DATA:
Name of High School__________________________________City______________________State_____
Did you graduate? Yes [ ] No [ ] If yes, when? _____________________________________
Name of College/University________________________________City___________________State_____
Did you graduate? Yes [ ] No [ ] If yes, when? _____________________________________
If no, current year?_________________________________
PLAYING EXPERIENCE:
High School -- Yes [ ] No [ ] If yes, what year(s)? _________________________________________
College -- Yes [ ] No [ ] If yes, what year(s)? _________________________________________
Professional -- Yes [ ] No [ ]
If yes, what team(s) and what year(s)?
________________________________________________________________________________________
________________________________________________________________________________________
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