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Get Intra Club

D and be accompanied by the USYS Player Pass and a signed copy of the player’s Medical Waiver & Liability Form. This form only applies to Primary Roster Players Player Name Player ID Number Name of Primary Team Rostered Player Gender/Date of Birth 1) 2) 3) 4) Name of Event Participating: ___________________________________ Dates: ____/____/____ to ____/____/____ Loaning Head Coach Name: ___________________ (print) Signature: ________________________ Date ___/___/___ Guest Head Coach Name:.

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