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Lil Crushers FALL 2019 program
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* Indicates required question
Email
*
Your email
Player Name
*
Your answer
Player Birth Year
*
2012
2013
2014
Required
Which program are you registering for?
*
2012 WEDNESDAY (6-7pm @ North Field, Mahwah)
2013 WEDNESDAY (5-6pm @ North Field, Mahwah)
2014 WEDNESDAY (5-6pm @ North Field, Mahwah)
2012 SATURDAY (11am-12pm @ North Field, Mahwah)
2013 SATURDAY (11am-12pm @ North Field, Mahwah)
2014 SATURDAY (11am-12pm @ North Field, Mahwah)
2013 BOTH WEDNESDAY (5-6pm) AND SATURDAY (11am-12pm)
2014 BOTH WEDNESDAY (5-6pm) AND SATURDAY (11am-12pm)
2012 BOTH WEDNESDAY (6-7pm) AND SATURDAY (11am-12pm)
Parent Email address
*
Your answer
Parent Emergency Contact number
*
Your answer
Has your daughter participated in the Lil Crushers program before?
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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