Player and Contact information (FALL 2024)
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Email *
PLAYER Name *
(First and Last Name)
PLAYER Date of Birth *
MM
/
DD
/
YYYY
PLAYER School Grade Level *
PLAYER Contact (Phone and Email)
Home Address *
Number, Street, City, State, Zip
PARENT/GUARDIAN #1 Name *
(First and Last Name)
PARENT/GUARDIAN #1 Phone Number *
(xxx) xxx-xxxx
PARENT/GUARDIAN #1 Email *
PARENT/GUARDIAN #2 Name
(First and Last Name)
PARENT/GUARDIAN #2 Phone Number
(xxx) xxx-xxxx
PARENT/GUARDIAN #2 Email
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