| School Information |
| First Name: |
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| Last Name: |
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| School: |
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| Address Street: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Contact Information |
| Phone: |
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| Email: |
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| Headset Information |
Total number of Coaches that will
be communicating on headsets: |
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| Number of Coaches in the booth: |
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| Number of Coaches on the field: |
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| Current Schools Headset System |
| Model of Headset System Currently using: |
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| Approximate Year system was purchased: |
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| Type of Headset - Select type of headset |
| PH1 or 2 - Standard Series: |
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| HR 1 or 2 - Plus Series: |
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| PH 100 / 200 - Pro Series: |
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| Other Information |
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