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Athletes Information

First Name

Last Name

Date of birth

Current Age *

Medical Information - If non( write N/A) *

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Athlete information

Team Name

Houston Havocs

Southern Sparks

Texas Twisters

Columbus Blaze

Team Group

JV

Varsity

All-Star

Parent Information

Address

Street Address

City

State

Country

Postal code

Emergency Contact Name *

Emergency Contact Phone Number *

Email *

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