Athlete Name * First Name Last Name Email * Phone * (###) ### #### Athlete Team * Mini Flare Youth Variety Radiance S1 Dynamite J2 Inferno Junior Hip Hop Blaze S3 Senior Heat Open Hip Hop Phoenix Mini Hip Hop TNT Sparks Tiny Embers Wildfire Open Variety Fire Requested Start Date * MM DD YYYY Requested End Date * MM DD YYYY Reason for Absence * Thank you! Athlete Absence Request
