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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 impacttfoundation@gmail.com


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Team Name *
Grade Level (Current School Year) *
Level of Team *
Coach Name *
Coach Email *
Coach Cell Phone *
Coach Name #2
Coach Email #2
Coach #2 Cell Phone
Payment *
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