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Get INDIVIDUAL REGISTRATION

LETED BY CLAIMANT, PARENT OR GUARDIAN (Required) 1. NAME: (first) (last) 2. ADDRESS: (city) (state) (zip code) 3. TELEPHONE #: 4. BIRTHDATE: / / 5. CLAIMANT IS A: SEX: Male YOUTH Female SS#: COACH/MANAGER OTHER: 6. NAME OF LEAGUE AND NAME OF TEAM: 7. TOURN NAME: TYPE: DIRECTOR NAME & #: 8. ASA ID CARD #: (Include copy of.

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