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UKA CENTRAL 2024
Branchburg Sports Complex   SUMMER 2024
JUNE 27TH TO AUGUST 22ND     JUNIORS 630PM   SENIORS 730PM

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NAME OF KEEPER  *
EMAIL CONTACT *
CELL *
DATE OF BIRTH *
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CURRENT CLUB *
SELECT ACADEMY *
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TSHIRT SIZE *
I AGREE TO PAY TUITION OF $510 BY June 7th 2024  VENMO @UKA2020 *
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