REBELS BANTAM MAJOR ROSTER INFORMATION
PLEASE COMPLETE ALL CAPTIONS
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Players Date of Birth: *
Players First Name: *
Players Last Name: *
Travel Organization Played for Last Season *
Address: *
Players Cell Phone: *
City: *
Zip: *
Home Phone: *
1st E-mail (Main Contact): E-mail billing and updates will be sent.  Must be parent or guardian.
Mothers Name:
Fathers Name
Mothers E-mail:
Fathers  E-mail: *
Mothers Cell Phone: *
Fathers Cell Phone *
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