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Registration Form please include full payment Mail applications to Randy Hevey 251 Barton Ave Belchertown MA 01007 Include full payment with registration Select all that apply o Spring Session 2 o Summer Clinic Full Day 12 and Under Student Name Date of Birth Parents Names Address City State Zip Please note whether phone numbers are Home/Work/Cell Primary Phone Emergency Phone Email Signature Players under 18 years of age parent/guardian signatur...
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