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Page 1: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 2: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 3: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 4: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 5: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 6: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 7: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 8: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 9: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 10: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 11: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at
Page 12: Printed Name of Student Athlete Signature of Student Athlete Date Signature of Parent/Caregiver Date A copy of this form must be kept on file in the athletic director's office at

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