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Spartans/Titans Tryout June 4th 11AM Field 23 Randal’s Island
Childs First Name
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Last Name
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Date of Birth
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+
Age As of 5/1/22
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Street Address
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Zip Code
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Cross Streets
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Phone Number
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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: