General Contact Information:
Name:
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Last Name:
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Street Address
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City
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State
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Cell Phone
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Home Phone
E-mail:
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Fax Number:
Shirt Size (dry fit polo)
Jacket Size
fleece
nylon pullover
rain jacket
BOC Number:
State Licensed
YES
NO
State License Number
Licensed in more than one state:
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If yes, list states and state license numbers
Seasonal Availability:
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Winter (December – February)
Spring (March – May)
Summer (June – August)
Fall (September – November)
Sports Events You Prefer To Cover. Please Check All That Apply.
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Football
Field Hockey
Baseball
Ice Hockey
Basketball
Cheer Leading
Softball
Swimming/Diving
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Tournaments
Gymnastics
Day Camps
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Overnight Camps
Lacrosse
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