STAA Fall Registration Form
This form must be submitted and accompanied by a current Physician Release Form and any required registration fees PRIOR to the start of the Fall 2022 season in order for ANY student to participate
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Sport Registering For *
Player Name *
Grade *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Jersey Size *
Player Home Address *
Player Phone Number
Player Email Address
Player Allergies *
Required
Player Medication(s) *
Required
Parent / Guardian Name *
Parent / Guardian Phone Number *
Parent / Guardian Email Address *
Parent / Guardian Name
Parent / Guardian Phone Number
Parent / Guardian Email Address
Submit
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