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Optimist Club of Rolla Girls Basketball Grades: 2nd-7th
Youth Basketball Registration Form
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Email
*
Your email
Player's Phone
*
Your answer
Date of Birth
*
Your answer
Would you like to coach? (Parents)
Yes
No
Clear selection
Any other information?
Your answer
Mother's Contact Info.
Your answer
Height in Inches
Your answer
Father's Name
Your answer
Name of Emergency Contact
Your answer
Grade
*
Your answer
Shirt size
*
S(6/8)
M(10/12)
L(14/16)
Adult S
Adult M
Adult L
Adult XL
Email Address
*
Your answer
Emergency Contact Info.
Your answer
Mother's Name
Your answer
Player's Medical Conditions
Your answer
Father's Contact Info.
Your answer
Player Legal Name
Your answer
A copy of your responses will be emailed to the address you provided.
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