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Potential 3BC Player Information
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Players First Name  *
PLAYER'S MIDDLE NAME
PLAYER'S LAST NAME *
DATE OF BIRTH *
MM
/
DD
/
YYYY
GENDER *
PLAYER'S 10 DIGIT CELL PHONE NUMBER 
###-###-####
PLAYER'S EMAIL ADDRESS
STREET ADDRESS *
CITY *
STATE *
ZIP CODE
PARENT/GAURDIAN #1 FIRST AND LAST NAME *
PARENT/GAURDIAN #1 EMAIL *
PARENT/GUARDIAN #1 CELL PHONE  
###-###-####
*
PARENT/GAURDIAN #2 FIRST AND LAST NAME
PARENT/GAURDIAN #2 EMAIL
PARENT/GUARDIAN #2 CELL PHONE  
###-###-####
CURRENT GRADE *
SCHOOL ATTENDING *
TOP SIZE (Jersey, Shirt, Sweatshirt, etc.)  *
BOTTOM SIZE (Shorts, Sweatpants, etc.)  *
Does the Player participate in a Fall Sport?
Does the Player participate in a Spring Sport?
1st Preferred Jersey Number Option
2nd Preferred Jersey Number Option
3rd Preferred Jersey Number Option
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