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Name: Sex: Date of Birth

Address: City: State:

I am most interested in:

My preference of night of play:

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If your location is not listed, please tell us in "Comments."

I can put a team of 5 to 8 people together:

I can put a Triple Play Masters team together:

Have you ever participated in an APA sanctioned League?

If yes, where? City: State:

If you have any further comments or questions, enter them here:

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