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MSC WINTER 2010 Fundamental Clinics REGISTRATION PLAYER INFORMATION First Name MI l Boys l Girls Age Group: U Last Name D.O.B.: / / grade: l Father l Guardian PARENT INFORMATION l Mother Parent Name:

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Winter 2010 Fundamental Clinics are training sessions designed to provide fundamental skills in a specific field or subject.

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Information such as the name of the training session, dates, location, topics covered, and any evaluations or feedback must be reported on winter 2010 Fundamental Clinics.