2023/2024 Tryout/Registration Form
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TRYOUT FEES:  $20 non-refundable fee is required at the clinic for each participant.   How do you plan to pay for registration?  *
Last Name *
First Name *
Birthdate *
MM
/
DD
/
YYYY
School attending *
Grade for 23/24 school year *
Team Type *
Mother/Guardian's Name *
Mother/Guardian's cell phone *
Mother/Guardian's email *
Father/Guardian's Name
Please put N/A if this does not apply. 
*
Father/Guardian's cell phone
Please put N/A if this does not apply.
*
Father/Guardian's email
Please put N/A if this does not apply.
*
Emergency Contact *
Relationship *
Phone number *
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