LIL BRONCOS
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Athlete Information
FIRST , LAST NAME
ADDRESS
DATE OF BIRTH/ AGE
CITYAND STATE
SCHOOL ATTENDED
PARENT/GUARDIAN INFORMATION:
PARENT/ GUARDIAN NAME;
PARENT/GUARDIAN  CEL PHONE #
PARENT/ GUARDIAN EMAIL ADDRESS
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EMERGENCY AND HEALTH INFORMATION
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NAME, RELATIONSHIP, PHONE #
POSITION
UNIFORM
ONLINE PAYMENT:
CREDIT CARD NUMBER:
NAME ON CARD:
EXPIRATION DATE:
CSC  NUMBER: