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PLAYER INFORMATION
Player Name
First
Last
Player Name
*
USAH#
Chicago Mission Team
Player Fee
Player Address
*
Street Address
Address Line 2
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*
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*
MM
DD
YYYY
HS Grad Year
*
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Contact Information
Parent / Guardian #1
*
Name
Parent / Guardian #2
Name
EMAIL ADDRESSES
Email (Player)
*
Email (Parent #1)
*
Email (Parent #2)
PHONE NUMBERS
Phone (Player)
Phone (Parent/Guardian #1)
*
Phone (Parent/Grardian #2)
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