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2012 Dave Bucciero Advanced Skills Soccer Camp for Girls
July 23-26, 2012

Registration Form

2012 Dave Bucciero Advanced Skills Soccer Camp for Girls July 23-26, 2012

First and last name

Age as of 7-23-12

Home address

City

State

Zip

Home phone number

Cell phone number

E-mail Address

Camper T-shirt Size

Emergency contact

Home phone number

Work phone number

Cell phone number

Relationship

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