Lincoln Sox Baseball : Login : User Account Request

Username (Required)

Password (Required)

Confirm Password (Required)

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

Player Info

I Accept a Roster Spot on the Lincoln Sox

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)

2021 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)

2021 Medical Release, Informed Consent and Release Agreement

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

Player's Team (Required)

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

Grade Entering Fall of 2020 (Required)

Parents' Info

First Names (Required)

Last Name (Required)

Address (Line 1) (Required)

Address (Line 2)

City (Required)

State (Required)

5-Digit ZIP Code (Required)

Primary Phone xxx-xxx-xxxx (Required)

2nd Phone (Optional)

E-mail Address (Required)

2nd email (Optional)

Medical Information

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

Family Physician (Required)

Physician Phone (Required)

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

Emergency contact other than parents (Required)

Emergency contact relationship (Required)

Emergency contact phone (Required)

Health Insurance Company (Required)

Insurance Subscriber's Name (Required)

Health Insurance Policy # (Required)

Employer (if insurance through them) (Required)

Health Ins. Co. Phone (Required)