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Personal Information
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| First Name |
required
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| Last Name |
required
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| Email Address |
required
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| Address |
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| City |
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| State |
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| ZIP Code |
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| Phone Number |
() —required
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| SS Number |
required
for payment |
| Alternatively email SS# separately or call. Payment cannot be issued without. |
| Cell Phone Number |
() —
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| 2006 USSF Grade |
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| AR Only |
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| Referee or Assistant |
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| Team Affiliation |
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| Player |
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| Parent |
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Availability
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| Indicate below the dates and block of time you are available. If you are affiliated with a team indicate that team above. Your assignments if you are a parent will bracket the team's games. If you are player your assignment will be after your teams game. |
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| Sat, April 29, 2006 |
AM
Not Available
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| Sat, May 6, 2006 |
AM
Not Available
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| Sat, May 13, 2006 |
AM
Not Available
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| Wed, May 17, 2006 |
AM
Not Available
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| Sat, May 20, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sat, June 3, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sun, June 4, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sat, June 10, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sun, June 11, 2006 |
AM
Not Available
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| Wed, June 14, 2006 |
AM
Not Available
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| Sat, June 17, 2006 |
AM
Not Available
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| Sat, June 24, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sun, June 25, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sat, July 8, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sun, July 9, 2006 |
AM Only
PM Only
Not Available
All Day
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| Wed, August 2, 2006 |
AM
Not Available
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| Sun, August 13, 2006 |
AM Only
PM Only
Not Available
All Day
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| Sat, August 26, 2006 |
AM
Not Available
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| Comments |
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