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TackleALS Flag Football Game '08 Signup Form:

First Name
  
 		Last Name
Address
  
City, State (Ex. Allentown, PA)
  
 		Apt / Ste
  
Zip Code
Phone Number
  
Email Address
High School Attended
  
 		Graduation Year
  
Tshirt Name
  
Tshirt Number

 		Tshirt Size
Position Played
  
Years of Football Played
  
Player Comments

*
I authorize TackleALS to process my signup form. The information that is obtained is strictly confidential. By submitting this electronically, this is considered equivalent to the original sign up form.

Tackle ALS Foundation, Inc.
PO Box 213
Center Valley, PA 18034
info@tackleals.org

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