Palm Bay Parks & Recreation Presents

2005 Florida Space Coast Baseball League

Baseball Team Info:

Team Name: ______________________________________________________

Sponsor(s): _______________________________________________________

_________________________________________________________________

Manager: _________________________________________________________

Address: _________________________________________________________

City: ______________________________, FL Zip: ______________________

Email Address: ____________________________________________________

Home No.: _________________________Work No.: ______________________

Pager No.: _________________________ Fax No.: _______________________

Cell No.: __________________________ Other No.: ______________________

…………………………………………………………………………………………………………………

Check the appropriate Division(s) for your team below:

____Mickey Mantle (16-Under) _____ Connie Mack (18-Under)

____Stan Musial Wood Bat (Unlimited Age) _____ Roy Hobbs (28-Over)

____ Fall Wood Bat Division (Unlimited Age) _____ Spring Training Division (UA)

…………………………………………………………………………………………………………………

Home Field Location (optional): ________________________________________

Available dates/times: _______________________________________________

_________________________________________________________________

Schedule Requests: _________________________________________________

_________________________________________________________________

Does your team need insurance INFO? _____ Yes _____ No

Any Ex-Pros? _____ Yes _____ No If yes, how many? __________________

Use another page for other comments or requests