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PLEASE PRINT CLEARLY: PLAYER NAME GENDER M / F DATE OF BIRTH, AGE PARENT NAME(S) P HONE WRACKED IKE E T R E MAIL ADDRESS M ATHLETIC DI 1 AT com X T. 1 5 675 E side church. 3.9 32 north ken m i STREET
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When a form or document requests that information be provided in a neat and legible manner.
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