Athlete & Parent Information

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Athlete Last Name *

Athlete First Name *

Gender *

Male

Female

Class Level *

Address *

City *

Zip Code *

Athlete E-Mail Address *

Home Phone Number *

Cell Phone Number *

Parent/Guardian #1 Name *

Relationship #1 to Athlete *

Mother, Father, Grandmother, etc.

Best Phone Number *

Email Address *

Parent/Guardian #2 Name

Relationship #2 to Athlete

Mother, Father, Grandmother, etc.

Best Phone Number

Email Address

Other sports or extra curricular activities in which you are involved in AT DUBLIN HIGH SCHOOL:

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