Student Name
*
First Name
Last Name
Grade
*
6
7
8
9
10
11
12
Birth Date
*
-
Month
-
Day
Year
Date
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Shirt Size
*
Small
Medium
Large
XL
2XL
3XL
4XL
Student Cell #
If Applicable
Parent Name
*
First Name
Last Name
Parent Phone #
*
Parent E-mail
Confirmation Email
Sport physical completed for 2019-2020?
Yes
No, appointment has been scheduled
No
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