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Get Fmall 2012 Form Registration Form And Medical Release (00236433-3).doc. 00236433.doc/3

Male Female Age: Primary Contact is: Mom Dad Dad s: Uniform Size: Name: E-mail: Home Phone: Work Phone: Cell Phone: Can Dad Volunteer? Manager (Head Coach) Coach Umpire Scorekeeper Team Parent Concessions Other: Mom s Name: E-mail: Home Phone: Work Phone: Cell Phone: Can Mom Volunteer? Manager (Head Coach) Coach Umpire Scorekeeper Team Parent Concessions Other: Emergency Contact Name (Other than Mom or Dad): Emerge.

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