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CONTACT INFORMATION
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Player's Last Name:
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*
Player's Cellphone # with Area Code:
example 123-456-7890
*
Birthday:
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Parent First Name:
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Relationship to Player:
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*
Email Address:
*
Cellphone # with Area Code:
example 123-456-7890
Parent First Name:
Parent Last Name:
Relationship to Player:
Mother
Father
Legal Guardian
Email Address:
Cellphone # with Area Code:
example 123-456-7890
* indicates required fields