Player First Name*

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Player Last Name*

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Grade*

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Players Social Media

Parent / Guardian Name*

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Parent / Guardian Phone*

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Parent / Guardian Email*

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Parent / Guardian Social Media

Parent / Guardian Name 2

Parent / Guardian Phone 2

Parent / Guardian Email 2

Parent / Guardian Social Media 2

I consent to the use of photos/videos of my child for team promotion and social media.*

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CheckboxI give permission for my child to participate on the Diamond Cutters football team and agree to emergency medical treatment if necessary.*

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Name of person completing this form (if different from parent)*

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I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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Coach James

Telephone: 925-301-5066

E-mail: info@overtimefootballacademy.com

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Player Registration