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Challenger Basketball 2022-2023
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Athlete's name
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Athlete's age
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Your answer
Athlete's school
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Athlete's primary diagnosis
*
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Does your athlete have any of the following?
*
Chronic health conditions (asthma, diabetes, seizures)
Allergies
Special diet
Other
None
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If you checked any of the above please explain
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Athlete's shirt size (youth and adult available)
*
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Best phone number for communication
*
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Best email address for communication
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Please select any week(s) you anticipate missing
December 11
December 18
January 8
January 15 (long weekend- MLK Day)
January 22
January 29
February 5
February 12
February 19
February 26
Please use this space for any questions or concerns.
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