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M.O.T. YOUTH FOOTBALL & CHEERLEADING LEAGUE PHYSICAL FORM PARTICIPANT INFORMATION: First Name___Last Name ___ DOB___ Address___ City State and Zip___ TO BE FILLED IN BY DOCTOR Date of Physical Exam___(must

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Parents or guardians of youth football players who need to register for the MOT Youth Football AMPAMP program.

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Mot youth football ampamp is a program designed to provide organized football activities for youth players.

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