Leechburg Athletics

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Leechburg Athletics

Student-Athlete Sports Registration

Email *

First Name *

Last Name *

Birthday *

YYYY

Address *

City, State, Zip *

Phone 123-456-7890

School District *

Sport *

Grade *

Number of seasons of competition in this sport beyond 6th grade including present season *

I played in 7th grade

I played in 8th grade

I played in 9th grade

I played in 10th grade

I played in 11th grade

I played in 12th grade

Required

A copy of your responses will be emailed to the address you provided.

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