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Get Valencia Flyers Junior Showcase Registration 2016-2024

Te:_____Zip:___________ Cell phone: ( )_____________________E-Mail_________________ Parent cell: ( )____________________E-Mail_________________ Payment of $275.00 made by: check #______________ (Please make checks payable to Ice Station) Visa, Amex, or M/C #__________________________________ Exp. Date ________________ Name on Card___________________________________________ Authorized Signature_______________________________________ Height_________Wt._______Shoots Left Right (Circle one) La.

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