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| School/Club | |||
| Contact Person | |||
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| State | Zip Code | ||
| Age (must be over 21) | Phone # (H): | ||
| Approx. number of players attending camp: | |||
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| State | Zip Code | ||
| Phone # (H): | Phone # (day): | ||
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Enclosed is a refundable check/money order in the amount of $100 to RESERVE a place for the above team made payable to: ADVANCED GIRLS SOCCER
Balance is due June 15. Mail to: Advanced Girls Soccer, 10 Laurana Lane, Hadley, MA 01035 NOTE: This form is for TEAM CAMP ONLY (once reservation has been made, individual forms will be mailed separately) |
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I have read & understood the terms / conditions of the refund policy:
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