Interest Card Information

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*Parent Name	*Athlete Name
*Athlete Birthdate (mm/dd/yy)	*Athlete Gender Male Female
*E-Mail Address	*Would you like to be notified of upcoming events and programs at VBA? Yes No
*Street Address	*City
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Please select the programs of interest:
Pitching Academy Programs Clinics Private/Semi-Private Lessons	Hitting: Academy Programs Clinics Private/Semi-Private Lessons
Fielding: Academy Programs Clinics Private/Semi-Private Lessons	Catching: Academy Programs Clinics Private/Semi-Private Lessons
League/Team: Academy Programs Clinics Classes

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