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USLA Champions Premier Registration PacketFALL2017SPRING2018 Form
PlayerhasMedicalInsurance?Yes No NameofInsuranceCarrier:________________________________________ Doesthischildhaveanydisabilities,handicaps,presentinjuriesorlimitations,allergies,hemophilia,heartcondition,historyof respiratoryillnessoranyothersignificantmedicalconditions?No Yes...Show details
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