Rampage Race Team Application Form

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RAMPAGE RACE TEAM APPLICATION FORM
(To be filled out by the athlete)
PERSONAL INFORMATION:
Athlete Name:
Athlete Gender:
Male ☐ Female ☐
Athlete Date of Birth (YYYY/MM/DD):
City (Permanent Residence):
Athlete Email Address:
Athlete Home Phone Number:
Athlete Cell Phone Number:
PARENT/GUARDIAN INFORMATION:
Parent/Guardian #1 Name:
Parent/Guardian #1 Relation to You
Parent/Guardian #1 Email Address:
Parent/Guardian #1 Home Phone #:
Parent/Guardian #1 Cell Phone #:
Parent/Guardian #2 Name:
Parent/Guardian #2 Relation to You
Parent/Guardian #2 Email Address:
Parent/Guardian #2 Home Phone #:
Parent/Guardian #2 Cell Phone #:
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