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Rocky Mountain Soldierz Registration Form
Up to date physicals within the last 12 months will be required before any child can participate in the Youth Sports Program
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* Indicates required question
Email
*
Your email
Child's First and Last Name
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
Child's Age
*
Your answer
Child's DOB
*
MM
/
DD
/
YYYY
Child's Grade
*
Your answer
Child's School
*
Your answer
Child's Student ID #
*
Your answer
Child's Weight
*
Your answer
Youth Program Sport
Girls Basketball
Boys Basketball
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Jersey Size
Small
Medium
Large
Youth
Adult
Small
Medium
Large
Youth
Adult
Short/Pant Size
Small
Medium
Large
Youth
Adult
Small
Medium
Large
Youth
Adult
Parent/Guardian First,Last Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
Address
Your answer
City, State, Zip Code
*
Your answer
Emergency Contact Name/Contact Number
Your answer
I would like to volunteer
Coach
Assistant Coach
Has this child had a physical within the last 12 months
*
Yes
No
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