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Joe Licata Football Summer Quarterback Club
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Email
*
Your email
Group entering
*
5:00 - 6:30 PM (ENTERING GRADES 7-9)
7:30 - 9:00 PM (ENTERING GRADES 10-12) * This slot will switch to 6:30 - 8:00 PM beginning July 19)
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's T-Shirt Size
*
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian phone Number
*
Your answer
School
*
Your answer
Grade in Fall '22
*
7th
8th
Freshman
Sophomore
Junior
Senior
Please indicate how you will pay
*
Cash
Check (address will be emailed)
Venmo (enter Venmo name for Venmo request on the tab below)
Credit Card (online store on website)
Venmo Name for payment request
Your answer
Other comments
Your answer
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