JCL Dodge Ball Tourney Registration
Event Timing: Saturday, January 12 from 9:00 am - 12:00 pm
Event Address: CPLS Gym, 635 SW Clay Street
Contact JCL Sponsor Jason Lichte with questions- jlichte@cpls.org

**All players must bring the signed waiver form with him/her before play on Saturday, January 12. Visit www.cpls.org/family for the waiver form.

Team Name *
Your answer
Team Captain *
Your answer
Team Contact Person (if different from above) *
Your answer
Contact Person's Email *
Your answer
Contact Person's Phone Number *
Your answer
Team Roster (must be a minimum of six players per team) *
Your answer
CPLS Family to be billed in FACTS *
Your answer
I understand that the family listed above will be billed a $30 team registration fee in FACTS. *
Required
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