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2. Name*
3. Email Address*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Primary Phone Number*
    Please include area code.
12. Alternate Phone Number
    Please include area code.
14. League
    -- Select One --Men'sCoed7th to 12th Grade Fast Pitch
15. Level
    -- Select One --A - CompetitiveBC - Recreational
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

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