Personal Information
First Name:______________________ Last Name:___________________________ MI:______
Address:_________________________________________________________________________
City:______________________________________ State:___________________ Zip:__________
Email:___________________________________________________________________________
Phone:___________________________________________________________________________
Year of Graduation:__________ High School:___________________________ GPA:___________
Primary Academic Interest:_________________________________________________________
How did you hear about us:_________________________________________________________
Interest Level: 1 2 3 4 5 (5=highest)
Statistics
Height:______________ Weight:_________________ Positions:__________________
Date of Birth:__________________________________________________________
Batting Average:_____________ Games Played:_____________ 60 Yard Time:____________
Pitchers ERA:___________ Pitching Hand: L R Estimated Velocity:_____________________
Batting Hand: L R S
Honors:
Please Return To:
Patrick Henry Community College
Attn: Chris Parker, Athletic Director/Head Baseball Coach
PO BOX 5311
Martinsville, VA 24115