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Mile Hi Magic Girls Basketball Club

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Name *
E-mail Address *
Second Email Address
Home Address *
Parent(s)/Guardian(s) Name(s) *
Home Phone (with area code) *
Work Phone (with area code)
Cell Phone (with area code) *
Player's Birthdate *
School Attending in the Fall *
Grade Entering in the Fall *
Position *
Uniform Size (women's) * X-small
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X-Large

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