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  LBHS JV Girls Soccer Team
​Lizbeth EspinozaYear: 2017-18 School: Los Banos Sport: Soccer, Girls

Student InfoGender:
Female

Grade:
10

Birthdate:
2002-07-07

Student Id:
61589

Address:
1114 oatgrass way

City:
Los banos

State:
CA

Zip Code:
93635

Home Phone:
(209)270-0439

Student Cell:
(209)270-0439

Student Email:
Lizbethespinoza295@gmail.com
MedicalInsurance Company:
Central California allian 

Insurance #:
90974498D

Physician:
N/A

Physician #:
N/A

Preferred Hospital:
Nearest Hospital

Physical Expiration:
08/17/2018
Parents/GuardiansParent/Guardian #1 Name:
Maria Aguilar

Business #:
(209)675-6915

Mobile #:
(209)675-6915

Email:
Lizbethespinoza295@gmail.com

Parent/Guardian #2 Name:
Rigoberto Espinoza

Business #:
1 (209) 675-807

Mobile #:
1 (209) 675-807

Email:
Lizbethespinoza295@gmail.com

Student is living with?
Mom and dad

Other Contact Name:
Oliva  

Relationship with Student:
Aunt  

Phone Number:
(408) 401-193 
Signatures ExecutedTitle
Signature
Category

Statement of Consent
MA
Parent Signature
Copyright © 2017
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