STUDENT ATHLETE INFORMATION FORM
Personal Info
First Name *
Your answer
Last Name *
Your answer
Classification for the 2019-20 school year *
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Mobile Number (input the 10 digit number - no dashes, spaces) *
Your answer
Street Address
Your answer
City
Your answer
State
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Zip
Your answer
Parent Information
Parent 1 First Name *
Your answer
Parent 1 Last Name *
Your answer
Parent 1 Email Address *
Your answer
Parent 1 Mobile Number *
Your answer
Parent 1 Occupation
Your answer
Parent 2 First Name
Your answer
Parent 2 Last Name
Your answer
Parent 2 Email Address
Your answer
Parent 2 Mobile Number
Your answer
Parent 2 Occupation
Your answer
Athletic Info
Offensive Position *
Defensive Position *
Height *
Weight *
Your answer
Jersey number choice (pick 3)
Your answer
T-Shirt Size
Short Size
Sweat Shirt Size
Any injuries or concerns coaching/medical staff should be aware of?
Your answer
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