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Spartans/Titans Tryout
PS 96, 216 East 120th, between 2nd & 3rd
Childs First Name
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Last Name
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Date of Birth
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Home Phone Number
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Age As of 5/1/20
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Street Address
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Zip Code
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Cross Streets
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School
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Grade
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Pre K 3's
Pre K
K
1
2
3
4
5
6
7
8
Parent #1 Name
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Parent #1 Cell
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Parent #1 Email Address
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Parent #2 Name
Parent #2 Cell
Parent #2 Email Address
Notes: