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2021/2022 Registration

PLAYER INFORMATION

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School Bldg:

Yrs of Experience:

Weight:

T-Shirt Size:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

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MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

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* Relationship to Player:

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