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Winter Cheer 2024 k-3
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Primary Phone:
*
Primary Email:
*
Gender:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
*
School:
*
Grade in September 2024:
K
1
2
3
4
5
6
7
8
*
Unisex Shirt size:
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
PARENT/GUARDIAN #1
*
First Name:
*
Last Name:
*
Email:
Home Phone:
Work Phone:
*
Cell Phone:
PARENT/GUARDIAN #2
*
First Name:
*
Last Name:
*
Email:
Home Phone:
Work Phone:
*
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact (other then parent):
*
Phone:
*
Relationship to Player:
*
Insurance Carrier:
*
Policy #:
*
Allergies/Disabilities (write "none" if doesn't apply):
Notes/Other:
I/we confirm that the above information is correct
*
* indicates required fields