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IMPACTT Summer Tip Off
Date: April 23-24 2016
Location: Waterloo, IA
Grades 4th-12th Boys and 6th-12th Girls
4 Game Guarantee $275
Contact Info: 319-493-0851; 319-290-9640 or
**** IF HAVING PROBLEMS USING FORM AND YOU ARE IN INTERNET EXPLORER COPY LINK AND PASTE IN GOOGLE CHROME OR FIREFOX TO HAVE FULL FUNCTIONS OF ONLINE REGISTRATION.
Grade Level (Current School Year)
Level of Team
Coach Cell Phone
Coach Name #2
Coach Email #2
Coach #2 Cell Phone
Mailing Payment to PO Box 891 Waterloo, IA 50704
Paying online from website impacttsports.com
Have More than 3 teams need to make payment arrangements please call
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