Dublin Celtics Athlete/Parent Information
Athlete Last Name *
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Athlete First Name *
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Gender *
Date of Birth *
MM
/
DD
/
YYYY
Address *
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City *
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Zip Code *
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Athlete Email Address *
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Home Phone Number *
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Athlete Cell Phone Number *
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Parent/Guardian #1 Name *
Your answer
Parent/Guardian #1 Relationship to Athlete *
Mother, Grandfather, Aunt, etc.
Your answer
Parent/Guardian #1 Best Phone Number to be reached at *
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Parent/Guardian #1 Email Address *
Your answer
Parent/Guardian #2 Name
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Parent/Guardian #2 Relationship to Athlete
Mother, Grandfather, Aunt, etc.
Your answer
Parent/Guardian #2 Best Phone Number to be reached at
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Parent/Guardian #2 Email Address
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