DIRTBAG QUESTIONNAIRE

Name ___________________________________________ Graduation Year ______________________________

Address _________________________________________ City_______________________ State _________ Zip Code __________

Telephone _____________________________________ Birth Date ______________________________________

Parents' Name (Father) ___________________________ and (Mother) ___________________________________

College Attended (Father) _________________________ and (Mother) ___________________________________

Occupations (Father) _____________________________ and (Mother) ___________________________________

Work Phone (Father) _____________________________ and (Mother) ___________________________________

Player’s Cell Phone Number _______________________ Player’s E-mail __________________________________

Alumni You Know _______________________________________________________________________

BASEBALL INFORMATION

Name of High School _________________________________ City_______________________________________

Position __________ Bat___________ Throw _________ Height ________________Weight __________________

Running Speed – 60Yard Dash ______________ Who Timed this 60 Yard Dash? ___________________________

Fastball Velocity AVG: ____________ Peak Velocity __________ Curveball ____________ Change-Up __________

List Baseball Honors/Awards ______________________________________________________________________

_____________________________________________________________________________________________

What Camps/Showcase have you attended ___________________________________________________________

List College Coaches/ Pro Scouts that have seen you play ________________________________________________

IMPORTANT INFORMATION:

Understand that our team competes against the top teams in the country. We are only looking for top-shelf players who can compete at a very high level to be a part of our team. By filling out and sending in this form, you are expressing a genuine interest in playing for The Dirtbags and you are requesting our staff to consider you for our team. Please understand, with the volume of requests we receive, we are unable to answer each questionnaire individually. Thank you for your interest in DIRTBAG BASEBALL!

 PLEASE RETURN COMPLETED QUESTIONNAIRE TO: 

Dirtbag Baseball, PO Box 119, Sedalia, NC 27342