CANNOT PROCEED WITHOUT THIS STEP Create User ID: (First 2 letters of first name and Date Of Birth) Example: RA010185
User ID:
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PERSONAL INFORMATION
TECH ADDRESS
HOMETOWN ADDRESS
CLASS SCHEDULE Credit Hours Taking This Fall
Must Submit Form on Next Page
Any Questions Contact: Coach Green 406-496-4292 Coach Doug Schleeman 406-496-4768 Montana Tech Football 1300 West Park Street Butte, MT 59701
