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Unified Sports Intent To Enter Form

Team Name:
School:
Telephone:
Address:
City/Town:
Zip Code:
Event you wish to enter:
High School Soccer
Other
Level:
Number of Wheelchairs/Walkers:
Roster:
Name Gender Athlete/
Partner
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Name of Principal:
Name of Coach:
Coach's Direct/Cell Telephone:
Coach's e-mail:
Practice Schedule:
CERTIFICATION
By checking this box the listed coach certifies that the students listed in the above form have satisfied
the State Health Statutes and local regulations regarding physical examinations and are physically fit to participate.
Please only click on Submit button once to enter registration.