User Account Request : Login : Lincoln Sox Baseball

User Information

Username (Required)

Password (Required)

Confirm Password (Required)

Type of Access Requested (parent-coaches, please select "Coach") (Required)

Type of Access Requested (parent-coaches, please select "Coach")

Player Info

By selecting "Yes", I Accept a Roster Spot for my son on the Lincoln Sox team specified below.

I Accept a Roster Spot on the Lincoln Sox (Required)

By selecting "Yes" below, I confirm receipt of the "Parent Packet and Player Agreement" document found below, and accept & agree to abide by its contents. I have reviewed and understand my responsibilities as a parent, and have reviewed the responsibilities as a player with my son.

By selecting "Yes" below, I confirm receipt of the "Parent Packet and Player Agreement" document found below, and accept & agree to abide by its contents. (Required)

2023 Parent Packet and Player Agreement

By selecting "Yes" below, I confirm receipt of the "Medical History, Informed Consent and Release Agreement" document found below, and accept & agree to its contents.

By selecting "Yes" below, I confirm receipt of the "Medical History, Informed Consent and Release Agreement" document found below, and accept & agree to its contents. (Required)

2023 Medical Release, Informed Consent and Release Agreement

Player's Full Name (First & Last) (Required)

Player's Full Name (First & Last)

Player's 2023 Team (Required)

Player's 2023 Team

Player's Birth Date (mm-dd-yyyy) (Required)

Player's Birth Date (format = mm-dd-yyyy)

Grade Entering in the Fall of 2022 (Required)

Grade Entering Fall of 2022

Parents' Info

First Names (Required)

First Names

Last Name (Required)

Last Name

Address (Line 1) (Required)

Address (Line 1)

Address (Line 2)

City (Required)

City

State (Required)

State

5-Digit ZIP Code (Required)

5-Digit ZIP Code

Primary Phone (format = xxx-xxx-xxxx) (Required)

Primary Phone (format = xxx-xxx-xxxx)

2nd Phone (Optional)

E-mail Address (Required)

E-mail Address

2nd email (Optional)

Medical Information

(All medical fields require an entry, even if it is "N/A" or "None")

Family Physician (Required)

Family Physician

Physician Phone (Required)

Physician Phone

Pre-existing medical conditions (allergies, chronic illnesses, etc.) (Required)

Pre-existing medical conditions (allergies, chronic illnesses, etc.)

Emergency contact other than parents (Required)

Emergency contact other than parents

Emergency contact relationship (Required)

Emergency contact relationship

Emergency contact phone (Required)

Emergency contact phone

Health Insurance Company (Required)

Health Insurance Company

Insurance Subscriber's Name (Required)

Insurance Subscriber's Name

Health Insurance Policy # (Required)

Health Insurance Policy #

Employer (if insurance through them) (Required)

Employer (if insurance through them)

Health Ins. Co. Phone (Required)

Health Ins. Co. Phone