TD Athlete • Contact Info
2024 – 2025
Today's Date
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Month
-
Day
Year
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ATHLETE: Name
*
ATHLETE: Date of Birth
*
-
Month
-
Day
Year
ATHLETE: Cell # — (parent cell, DOES NOT GO HERE!!)
*
If not applicable, please put 000–000–0000. *** PLEASE DO NOT put parent cell # here!!! ***
ATHLETE: Email — (parent email, DOES NOT GO HERE!!)
*
If not applicable, please put N/A. *** PLEASE DO NOT put parent email here!!! ***
ATHLETE: School — ('24-'25)
*
ATHLETE: Grade — ('24-'25)
*
Please Select
Preschool
Pre–K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Super Sr.
ATHLETE: Years/Seasons cheered at Top Dog? (Check all that apply)
*
2003–2004
2004–2005
2005–2006
2006–2007
2007–2008
2008–2009
2009–2010
2010–2011
2011–2012
2012–2013
2013–2014
2014–2015
2015–2016
2016–2017
2017–2018
2018–2019
2019–2020
2020–2021
2021–2022
2022–2023
2023–2024
2024–2025
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Primary Contact
CONTACT INFO
PRIMARY CONTACT: Name
*
PRIMARY CONTACT: Relation to Athlete
*
Please Select
Mom
Step–Mom
Dad
Step–Dad
Grandma
Grandpa
Aunt
Uncle
Guardian
PRIMARY CONTACT: Cell Number
*
PRIMARY CONTACT: Email
*
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Secondary Contact
CONTACT INFO
SECONDARY CONTACT: Name
*
If not applicable, please put N/A.
SECONDARY CONTACT: Relation to Athlete
*
Please Select
N/A
Mom
Step-Mom
Dad
Step-Dad
Grandma
Grandpa
Aunt
Uncle
Guardian
If not applicable, please click N/A.
SECONDARY CONTACT: Cell Number
*
If not applicable, please put 000–000–0000.
SECONDARY CONTACT: Email
*
If not applicable, please put N/A.
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