2020 Prospective Athletes - Outdoor Season
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Child's Last Name
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Child's First Name
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Address
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City
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Zip
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Father & Mother or Guardian's Name
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Daytime/Work Phone *
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Cell Phone *
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Email *
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Date of Birth *
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Age - Must be 6 yrs old by April 15th of that year *
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Gender *
School *
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The Penn Hills Eagles organization trains athletes to Junior Olympic levels and is not a recreational program. It is important for the organization to know if your child has the physical ability, mind set, is trainable and exhibit a positive attitude which is required to participate and perform within the parameters of the program.
Parent Signature
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Date Signed *
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A copy of your responses will be emailed to the address you provided.
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