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SLP Girls Traveling Basketball Registration 2017 / 2018

St. Louis Park Girls Traveling
http://www.stlouisparkbasketball.com/

Player Information

First Name *

Last Name *

Grade *

Birth Date *

Name of School *

Address 1 *

Address 2

City *

State *

Zip *

Phone

Alternate Phone

Email Address *

Primary Parent / Guardian's Contact Information

Relationship to Participants: *

Mother

Father

Guardian

Other Other

First Name *

Last Name *

Same as above

Address 1 *

Address 2

City *

State *

Zip *

Home Number *

Cell Number *

Work Number

Email Address *

Secondary Parent / Guardian's Contact Information

Relationship to Participants:

Mother

Father

Guardian

Other Other

First Name

Last Name

Same as above

Address 1

Address 2

City

State

Zip

Home Number

Cell Number

Work Number

Email Address

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If you have any questions email oriole.girls.basketball@gmail.com.