Valley League Player Information Form

This form will be used to build your roster and biographical information for www.valleyleaguebaseball.com. Please fill out as completely and accurately as possible.

Name (Last, First): 

Name as you would like it to be displayed:

Valley League Team:   Covington Fauquier Front Royal Harrisonburg Haymarket Luray New Market Rockbridge Staunton Waynesboro Winchester Woodstock

Cell Phone:   E-mail:

Ht:   Wt:    Age:  DOB:


Hometown (City and State):   

College:  Year (as of May 15)

Bat: Right Left  Both  | Throw: Right  Left Position(s)

College Coach:  Major:   

Honors Received (include academic honors): 

Parent Name 1:  E-Mail:

Parent Name 2:  E-Mail:

Parent Name 3:  E-Mail:

Parent Name 4:  E-Mail:

Home Telephone:

Name of hometown newspapers and radio stations:

Important: Submission of this form means that you agree to play with the above named club for the current season. You also agree not to play with any other club in the Valley League during the existence of this agreement, to abide by the rules governing the league and to return all playing equipment and apparel upon request of the club. All players are covered by a Supplemental Accident Insurance Policy. The player's own private insurance will be the Primary Insurance in the event of an injury or accident.

Date