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Hellstern Middle School 2017-18 Football
FIRST NAME (Athlete)
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MIDDLE INITIAL (Athlete)
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LAST NAME (Athlete)
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Date of Birth (Athlete)
00/00/00 *User Format
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Emergency Contact NAME- Primary
First and Last Name of Parent or Guardian
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Emergency Contact PHONE NUMBER- Primary
479-###-#### *User Format
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Emergency Contact NAME- Secondary
First and Last Name of Parent or Guardian
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Emergency Contact PHONE NUMBER- Secondary
479-###-#### *User Format
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E-Mail Address (Primary)
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E-Mail Address (Secondary)
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