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Player's Regeistration
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MRC Registration Form

Please Fill out all information as required.

Enter date :     -- mm/dd/yy

Players contact information:

Name
Street Address
Address (cont.)
City
Zip/Postal Code
Home Phone
Age
Date of Birth
School

Oscar Jimenez - 2450 Harrison Street - San Francisco - California - 94110 - ospa135@aol.com - 415.695.5013
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