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STORE
Player First Name
*
Player Last Name
*
Player Date of Birth
*
Month
Day
Year
Player Gender
*
Male
Female
Parent/Guardian #1 First and Last Name
*
Parent/Guardian #1 Cell Number
*
Parent/Guardian #1 Email
*
Parent/Guardian #2 First and Last Name
Parent/Guardian #2 Cell Number
Current School Grade
*
TK
K
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Player Jersey Size
*
Youth XXS
Youth XS
Youth S
Youth M
NA - Player Has Rec Uniform from previous season
Player Short Size
*
Youth XXS
Youth XS
Youth S
Youth M
NA - Player Has Rec Uniform from previous season
Player Sock Size
*
Child Small
Child Med
Child Large
Adult Small
Adult Medium
NA - Player Has Rec Uniform from previous season
Emergency Contact First and Last Name
*
Emergency Contact Relationship
*
Emergency Contact Cell Number
*
Any Medical Conditions?
*
Yes
No
If Yes, Please Specify. If No, Please Put N/A
*
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