JR. LIONS CHEERLEADING

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PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Primary Phone:

* Primary Email:

* Gender:

* Birthdate:

* School:

* Grade in September 2024:

* Unisex Shirt size:

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:

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