INTENT TO PARTICIPATE
Please
fax this form to 610-882-0343 – Attention Michael Kuzy
Please check age group:
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VERY CLEARLY THE FOLLOWING:
TEAM NAME
COACH’S NAME E
MAIL ADDRESS
BUSINESS TELEPHONE #
HOME TELEPHONE #
CELL TELEPHONE #
ADDRESS
FAX NO.
ASST. COACH NAME E MAIL ADDRESS
ASST. COACH TELEPHONE # CELL TELEPHONE #
TEAM PARENT NAME E
MAIL ADDRESS
TEAM PARENT TELEPHONE# CELL TELEPHONE #