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Winter Basketball League Balance

$100.00

To fulfill remaining balance for Fairfax Stars Boland.

 

Gender * 

Team Name

Level of Play * 

Division * 

Grade

Grade as of Fall

Team City / State Location

Used for scheduling when possible.

Coach Name

Cell Phone

Home Phone

Work Phone

Primary Email

Second Contact Name

Cell Phone

Phone

Email

Schedule Requests

Schedule requests taken into account when possible.

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