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* 1. Athlete Name

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* 2. Athlete Date of Birth

Month/Date/Year

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* 3. Athlete Phone Number

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* 4. Athlete Email Address

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* 5. Name of Trainer

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* 6. Farm Name of Trainer

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* 7. Trainer Phone Number

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* 8. Trainer's Email

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* 9. Parent (if under 18)

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* 10. Parent Phone Number

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* 11. Parent Email

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