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THE OFFICIAL HOME OF
INNER CHI DRAGONS
PLAYER REGISTRATION
PLAYER REGISTRATION FORM
Parent/Guardian Name
*
Child First name
*
Child Last name
*
Child Birthday
*
Month
Month
Day
Year
Parent Phone
*
Home Address
*
Email Address
*
Emergency Contact
*
Relationship To Athlete
*
Emergency Contact Number
*
Coach Name
*
Athlete's Graduation Year
Gender
Female
Male
Register
*
Registration Fee
$
150
Submit
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