Howell Athletic Association of Christian Home-educatorsSeptember 20th, 2013
FiledSeptember 20th, 2013Team Name: Year: From-To: Players Last Name First Name Birth Date Age Telephone Street Address City MI Zip Code Parental Information: Parents Last Name Fathers First Name Mothers First Name Father's place of employment Address Work Number Ext. Cell Number Mother's place of employment Address Work Number Ext. Cell Number Emergency & Medical Information (Emergency Contact: other than parent) Last Name First Name Relationship Phone Last Name First Name Relationship Phone Family Doctor Phone: Medical Insurance Company: Hospital Preference: Policy/contract number: Group Number: Medication/Food allergies: Other Medical conditions that the tournament director should know.