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Abe Stark 3v3 Registration
3V3 LEAUGE IN CONEY ISLAND @ ABE STARK
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NAME
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DOB
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EMAIL ADDRESS
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Contact Phone Number
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JERSEY SIZE
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YS/YM
YL/XL
AS/AM
AL/AXL
POSITION
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YEARS OF TRAVEL PLAYED
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Payment Method: ***Note*** Registration will not be considered complete until payment is processed
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CREDIT CARD
Mail Check(make payable to GNYCIHL): 17 Kansas place, Brooklyn, NY 11234
Pay at rink: Cash, Credit, or check accepted
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