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GBR Panther

OFFICIAL HOME OF YOUR
GBR PANTHERS

GBR Panther

Student Athlete Registration Form

Check Box, if making additional payments.

Athlete First Name(Required)

Athlete Last Name(Required)

Birthday(Required)

Month

Day

Year

Name of School(Required)

Current Grade(Required)

Division(Required)

Check Box, if adding second athlete.

Check Box, if adding third athlete.

Check Box, if adding fourth athlete.

Parent First Name(Required)

Parent Last Name(Required)

Parent Email(Required)

Phone(Required)

Emergency Number(Required)

Fee Payment(Required)

Full Payment$350

Half Payment$175

Quarter Payment$87.5

Partial Payment$50

Registration Fee(Non-Refundable)$35

Signature(Required)

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GBRCHEER3-0931

GBRSFRESHTURKPT1-0684

GBRSRSEMI1-0553

GBRJR2-0002

GBRSO1-91

GBRSOPHB1-175

GBR Panthers Youth Org, is a registered 501(c)3 nonprofit.

EIN: 88-3669969

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