Manistee Saints - (Manistee, MI) - powered by LeagueLineup.com

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2024 Player Fee's

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Cell phone:

Birthdate:

PARENT/GUARDIAN

Firstname:

Lastname:

EMail:

Home Phone:

Cell Phone:

PARENT/GUARDIAN

Firstname:

Lastname:

Email:

Home Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

I/we agree with the above *

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