Your name Gender
Student Athlete's Age School Name Graduation Year Position Height
Weight AAU Team High School Coach High School Coach Cell Phone Grade Level Parent's Name
Address 1 Address 2 City State Zip Country Phone Email Emergency Contact
Does the student athlete suffer from any medical conditions? YesNo If yes, please specify:
Do you accept terms and conditions and consent to the student athlete's participation at DUS? YesNo Digital Signature Date
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