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428 Athletics - Dodgeball
Registration form for 428 Adult Athletics - Dodgeball
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Age (must be 16+)
*
Your answer
Address (home) - Street
*
Your answer
Address - City and state
*
Your answer
Address - Zip Code
*
Your answer
Phone Number
*
Your answer
Registration type
*
Team
Free Agent
Team Member Names (if not a Free Agent)
*
Your answer
Emergency Contact
*
Your answer
Dodgeball rules
I have read the dodgeball rules and agree to follow them as 428 Athletics
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Payment Method (Free Agent $30, Teams of 6 $180)
*
Pay in person at 428 Athletics - CC, Cash, BTC
Venmo -Venmo - @athletics428
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