| Team's Name _______________________________ |
Madison or Clairemont ______________________ |
Indicate Season Fall or Winter ______________ |
Team Fee $240 |
||
Captain's Name __________________________ |
Home Phone ___________________ |
Work Phone ___________________ |
EMail Address ________________________________________ |
||
| Co-Captain's Name __________________________ |
Home Phone _________________ |
Work Phone _________________ |
EMail Address ________________________________________ |
||
| Player's Name __________________________ |
EMail Address ___________________________________________________________ |
||||
| Player's Name __________________________ |
EMail Address ___________________________________________________________ |
||||
| Player's Name __________________________ |
EMail Address ___________________________________________________________ |
||||
| Player's Name __________________________ |
EMail Address ___________________________________________________________ |
||||
| Player's Name __________________________ |
EMail Address ___________________________________________________________ |
||||
| Player's Name __________________________ |
EMail Address ___________________________________________________________ |
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[VBASD@ixpres.com]