Date/Time Submitted: {field:date_submitted_1709950471809}
Season: {field:season_1675477360783} Program: {field:program_1675477351442}

Player's Name: {field:player_s_first_name_1675458261409} {field:player_s_middle_name_1675458264618} {field:player_s_last_name_1675458257135}
Player's Address: {field:player_s_address_1675458272332}
Player's City, State and Zip: {field:player_s_city_1675458284725}, {field:player_s_state_1675458291450} {field:player_s_zip_1675458296423}

Player's Date of Birth: {field:player_s_date_of_birth_1675458300577} Player's Age: {field:player_s_age_1675458305015}
Player's Gender: {field:player_s_gender_1707691592685}
Player's Grade: {field:player_s_grade_1675458309098}

Parent/Guardian 1: {field:parent_guardian_1_name_1675476826432}
Parent/Guardian 1 Phone: {field:parent_guardian_1_phone_1675477046748}
Parent/Guardian 1 Email: {field:parent_guardian_1_email_1675476857990}

Parent/Guardian 2: {field:parent_guardian_2_name_1675476873780}
Parent/Guardian 2 Phone: {field:parent_guardian_2_phone_1675477025806}
Parent/Guardian 2 Email: {field:parent_guardian_2_email_1675477074270}

Emergency Contact: {field:emergency_contact_name_1675457768796} Phone: {field:emergency_contact_phone_1675457778287}

Medical Conditions:{field:does_your_child_have_a_medical_condition_we_need_to_be_aware_of_1675458000595}
{field:if_yes_please_explain_1675458053585}

Additional Information: {field:additional_information_1739896479257}

Player's Shirt Size: {field:player_s_shirt_size_1675458329530}
Parent Help: {field:parent_help_1675458688144}

Insurance Agreement: {field:i_agree_insurance_1675801600325} Enrollment Fee Agreement: {field:i_agree_enrollment_fee_1675801616251}

Digital Signature: {field:digital_signature_1675459114392}

Amount Paid	Cash/Check No	Date Paid
{field:amount_paid_1675714086117}	{field:cash_or_check_num_1675714101045}	{field:date_paid_1675714107546}