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Welcome To DodgeBallSport
"The Game That Everyone Can Play"
INDIVIDUAL REGISTRATION
for SuperSlam 2011
6th Annual Forest City Dodgeball Championships
Welcome to the DodgeballSport SuperSlam 2011 individual registration.
This form is for people without a team, wanting to be placed on one.
Please complete each section of this form.
AIl sections marked with an * must be filled out.
Todays Date *
Name (First Last)*
Date of Birth * 
Street Address * Apt.
Apt. City *Postal Code *
Postal Code * Contact Phone Number *
Email *
How did you hear about the Dodgeball Tournament *
If you answered other
Are you under 18 years of age? *
How would you Catagorize yourself
I would be willing to act as a team captain.
Registration is based on a first come first serve basis.
Once you have filled out your registration, click submit.
This will take you to the PayPal website where you can complete your registration process.
The PayPal account is under Optimum Performance Fitness.
Only registrations finalized with payment will be honored.
Upon submiting both registration and payment,
If you want to find out about the person organizing this event
click on me.
Copyright Mike Worden (All Rights Reserved) | Disclaimers
DodgeballSport | Phone: 519-203-3003
London, ON Canada
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