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Player's Last Name:
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Your answer
Player's First Name:
*
Your answer
Parent or Guardian First & Last Name:
*
Your answer
Parent or Guardian Phone Number:
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Your answer
Email:
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Your answer
Alternate Phone Number:
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Your answer
My child is currently registered and plays for a Southtowns Stars travel team?
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yes
No
My child is currently registered and plays for a Southtowns Stars travel team in the following age group:
*
Squirt
PW
Bantam
Midget
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