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'06 Season
Waiver
Please fill out the following form to request information on registering for the CJMSBL 2006 Season.
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
Email address:
Date of Birth:
Positions:
Previous MSBL Member?
Yes
No
If Yes, Which League?
Individual or Entire Team?
Individual
Entire Team
Discount Code:
Comments/Questions: