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Emergency Contact Form
*Please list at least 3 In case of Emergency Contacts (ICE) for your player
*
Child's Last Name:
*
Child's First Name:
*
ICE First Name:
*
ICE Last Name:
*
Relationship:
*
ICE Phone Number:
*
ICE First Name 2:
*
ICE Last Name 2:
*
Relationship 2:
*
ICE Phone Number 2:
*
ICE First Name 3:
*
ICE Last Name 3:
*
Relationship 3:
*
ICE Phone Number 3:
*
Coach:
*
Age:
Any allergies or medical needs to tell your coach? If Yes, Please list below. If No, Please skip.:
* indicates required fields