CHSTV STUDENT/PARENT INFORMATION
2020-2021 SEASON
Student Name: *
Student Grade: *
Student Cell #: *
Student Email Address: *
Home Address (street): *
Home Address (City/State/Zip Code): *
Parent Name: *
Parent Cell #: *
Parent Email Address: *
Parent Home Address (Street): *
Home Address (City/State/Zip Code: *
Parent Landline Phone Number:
Alternate Parent Name:
Alternate Parent Cell Phone #:
Alternate Parent Email Address #:
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