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Dave Bucciero
Anabel Jimenez
J.P. Sousa
Lon Pringle
T.J. White
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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
Residential ($550.00)
Non-Residential Camper ($450.00)
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
Adult S
Adult M
Adult L
Emergency contact
Home phone number
Work phone number
Cell phone number
Relationship
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