Ohio Xtreme Dynamo Registration
First Name of Player *
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Last Name of Player *
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Street Address
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City, State & Zip Code
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School District Player Attends *
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Grade Player is in *
Parent/Guardian First Name *
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Parent/Guardian Last Name *
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Phone Number of Parent/Guardian *
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E-Mail Address of Guardian *
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Player's T-Shirt Size (Adult) *
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