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TLA SUMMER 2018 REGISTRATION FORM
Please complete the entire form
Email address *
Player's Name *
Your answer
Player's Age *
Your answer
Player's Date of Birth *
Your answer
Player's School *
School attending in 2017-18 academic year
Your answer
Player's Grade *
Current Grade 2017/2018 School Year
Your answer
Parent's Home Phone *
Your answer
Address Street and Number *
Your answer
City/Town and Zip Code *
Your answer
Cell number for Text Messages *
Your answer
Position
(If known)
Payment By Mail OR PAYPAL $145 FOR Teams 3/4, 5/6, 7/8, 9/10 $100 FOR Team 1/2 CHECKS MADE PAYABLE TO TLA: PLEASE PUT ATHLETE'S NAME ON MEMO LINE *
Mailing addres: TLA c/o Jim Maisano 29 AMERICO COURT LANCASTER, NY 14086
Player's Team *
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