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Do you want to register for this event now ? please complete the form below and return in an email to EmpireStateFutureProspects@yahoo.com
Full Name – _____________________________________________________________
Mailing Address- ___________________________________Zip___________________
Email Address – __________________________________________________________
Phone Number – __________________________________________________________
High School – _____________________ Summer Team – ______________ Position – _____
Coach Name ( HS ) _____________________________(SUMMER BALL)_________________
Coach Email – ________________________Cell _________________________________
T-shirt Size – ___________Weight – ____________ Height – _________________________
Personal Insurance – ______________________ Ins # – ___________________________
Parent Name – ____________________________________________________________



