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* Indicates required question
Player's First Name
*
Your answer
Player's Last Name
*
Your answer
Gender
*
Male
Female
Player's Date of Birth
*
MM
/
DD
/
YYYY
Parent(s)/Guardian(s) Name
*
Please Include First and Last Name
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Phone (Primary)
*
Your answer
Permission to participate* I, the above-named parent or guardian of the above-named child, am giving permission for the above-named child to participate in a NVSC try out.
*
Agree
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