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2022 Crash In the New Year Registration
Payment can be made through PayPal to
info@ocderby.com
Please include your legal and skater name when making payment.
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Email
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Untitled Title
Legal Name
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Skate Name
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Skate Number
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Contact Phone Number
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Skate Level
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C
Emergency Contact Name and Phone Number
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Insurance (Not required but encouraged. Please include type and #)
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