SPORT:
TEAM CONTACT INFORMATION					TEAM PAYMENTS
Division:						Amount	Ck#/Cash	Date
Team Name:					TEAM FEE:
Contact/Coach:					Payment:
Address:					Balance:
City, State, Zip:					Payment:
Home Phone:					Balance:
Work Phone:					Payment:
Cell Phone:					TOTAL PD:
E-Mail Address:
THERE IS A $25.00 RETURN CHECK FEE.
THERE IS A $25.00 CANCELLATION FEE.					INDIVIDUAL PAYMENTS
TEAM ROSTER					Amount	Ck#/Cash	Date	Waiver
NAME                                                       PHONE #
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