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8 & 9 year olds Address: City, ST: ZIP Phone number(s): E-Mail Address School & Grade Attending in Fall 2012 Fall 2012 GSSA Player? (Circle One) Yes Fee $45 No Fee $55 Mother s Name Father s Name: The undersigned agrees to forever release, discharge and covenant to hold harmless the GSSA, its trustees, coaches, assistants, sponsors, and any other firms, persons, or corporations charged or chargeable with responsibility or liability, their heirs, administrations, executors, succe.
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