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POP WARNER LITTLE SCHOLARS, INC TEMPLATE ID CARD
SEASON PARTICIPANT INFORMATION CHEER DANCE FOOTBALL FLAG ATTACH PHOTO HERE PHOTO MAY BE NO MORE THAN TWO YEARS OLD PHOTO MUST HAVE OVERLAPPING OFFICIAL SEAL DIVISION OF PLAY (check one) TM MM JPW PW JV V JB B UNLIMITED CHALLENGER Weight at 1st Practice Coach Trainee Mascot Student Demonstrator Water Boy Last Name, First Name Middle Initial Address (city, State, Zip Code) Home Phone Work/Emergency Phone Association /League / Home Jersey Number Color Away Jersey Number Color
LEAGUE CERTIFICATION OFFICIAL League Signature Association Release Date of Birth Age as of Medical Certified Weight Date Cheer Certified Insert Date Scholastics Reclassified.
TO THE BEST OF MY KNOWLEDGE AND BELIEF, I CERTIFY THAT THE INFORMATION ABOVE IS TRUE..
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