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  • Young Athlete Information

  • Athlete Date of Birth*
     - -
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  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Emergency Contact

  • Format: (000) 000-0000.
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  • Athlete Registration

  • Participant is being registered as a:*
  • Are you interested in attending the UMass Women's basketball game at 12 pm before the clinic?
  • Traditional Athlete is an individual diagnosed with intellectual disability

    Unified Partner is an individual not diagnosed with an intellectual disability

  • 0/255
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  • Young Athletes Release Form and Waiver

  • Newsletter True or Fale
  • Should be Empty: