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Athlete Last Name:
Athlete First Name:
Athlete Gender: Boy Girl
Sport: *
St. Andrew Academy: Yes No
If No, type in school name:
Grade:
Birthdate:
Parent/Guardian Name:
Interested in Coaching? Yes
Home Phone: - - Can be the same as Cell.
Cell Phone: - -
Emergency Phone: - - Can repeat an above number.
Email:
*We will only offer the sport if there is enough interest.
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7724 Columbine Drive  •  Louisville, KY 40258  •  502-935-4578