2018 Couch Grayson Juniors

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Please complete this form for your coaching staff

Athletes First Name: *

Athletes Last Name

Which Team are you on? *

Couch- Grayson Juniors COMPETITION Team

Couch- Grayson Juniors Training Team

Spandex Size: *

Knee Pad Size: **You will NOT want to order Small- they are really small *

Practice Shirts Size: *

Program Shirt Size: *

Player's Cell Phone Number, if applicable: *

Parents/Home Email Address: *

This needs to be an email that is checked regularly.

Home Phone Number *

Mother's Name: *

Mother's Work Number: *

Mother's Cell Number: *

Father's Name: *

Father's Work Number: *

Father's Cell Number: *

#1 Emergency Contact Name: *

#1 Emergency Contact Number *

#2 Emergency Contact Name: *

#2 Emergency Contact Number: *

Would you like team text message reminders throughout the season? *

If yes...type the phone number you would like the text messages to go to in the box that says "OTHER".

Other:

Required

Are there any medical concerns that our coaching staff should know about? *

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