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Team Name:__________________________________ Team
Color:___________________
Captain:_____________________________________
Phone Number:_________________
Co-Captain:__________________________________
Phone Number:_________________
Division: ___A ___B
Team entry fee is $850. All payments must
be received by Friday, May 28. Team payments
only made -- in person -- at Skatetown with a swipe of a MasterCard, VISA
or American Express. Ask the cashier to ring up under
enrollment #96811 and write the name of your team on the
receipt. Also ask the cashier to give a copy of the
receipt with the team name listed to Susan. Checks
are OK only if received no later than June 4.
Team Roster:
| Jersey # |
Player Name |
Birthdate |
Position |
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