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* 1. Name

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* 2. Team

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* 3. Plan on Attending?

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* 4. How Many Players/Coaches? (Free)

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* 5. How Many Adults? ($20 per Adult)

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* 6. How Many Kids? (Ages 4-13, $15 per child)

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* 7. Send Payment to P.O. Box 113 Lockport, NY 14095. Make Payable to WNY Physically Challenged Youth Sports

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