Pittsburgh Poison Tryout Registration
Please fill out this form to register for the 2021-2022 Season
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Athlete First Name *
Athlete Last Name *
Athlete Date of Birth *
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/
DD
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Age *
Parent First Name *
Parent Last Name *
Parent Email *
Athlete Email
Address- include city and zip *
Parent Phone number
Trying out for *
Consider me for *
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Consider me for *
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