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2022-23 Grizzly Basketball Player Information
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Email
*
Your email
Player First Name
*
Your answer
Player Last Name
*
Your answer
Player Grade
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Senior
Junior
Sophomore
Freshman
Player Email
*
Your answer
Home Address
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Your answer
Player Cell number
*
Your answer
Parent/Guardian 1 - Name
*
Your answer
Parent/Guardian 1 - Email
*
Your answer
Parent/Guardian 1 - Phone Number
*
Your answer
Parent/Guardian 2 - Name
Your answer
Parent/Guardian 2 - Email
Your answer
Parent/Guardian 2 - Phone Number
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
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Your answer
Please list any health information/concerns we should know about
Your answer
Who is filling out this form
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Player
Parent/Guardian
Name of person filling out this form
*
Your answer
In the event of an emergency, when a parent/guardian is unavailable, I hereby authorize a representative of the program to make arrangements as he/she considers necessary for my child to receive medical care, including necessary transportation.
I agree
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