Hempfield Black Knights

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Email the webmaster at:
paul@justcallpaul.com

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Additional info in the Sponsor section of this website.

2010 Parent / Player Contact Sheet

Form

1. Players Name*

2. 2010/2011 Grade*

3. Parent Name #1*

4. Address Line #1*

5. City*

6. State*

7. Zip Code*

8. Home Phone*

9. H Phone #2/ Cell Phone

10. Email Address

11. Email Address #2

12. Parent Name #2

13. Parent #2 Address (if different than above)

14. Parent #2 City

15. Parent #2 State

16. Parent #2 Zip Code

17. Parent #2 Home Phone

18. Parent #2 Cell Phone

19. Parent #2 Email

20. Are you able to volunteer this year? If so, how would you like to help?*

* required field

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