Dodgeball Registration – Good Shepherd Lutheran Church

Gretna Days Dodgeball Info & Registration

Team Name *

Adult Contact for Team *

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Last

Adult Contact Email *

Adult Contact Phone *

Participant 1 Name *

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Last

Participant 1 Adult Contact Name *

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Last

Participant 1 Adult Emergency Contact Phone *

Participant 2 Name *

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Last

Participant 2 Adult Contact Name *

First

Last

Participant 2 Adult Emergency Contact Phone *

Pariticipant 3 Name *

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Last

Participant 3 Adult Contact Name *

First

Last

Participant 3 Adult Emergency Contact Phone *

Participant 4 Name *

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Last

Participant 4 Adult Contact Name *

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Last

Participant 4 Adult Emergency Contact Phone *

Participant 5 Name

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Last

Participant 5 Adult Contact Name

First

Last

Participant 5 Adult Emergency Contact Phone

Participant 6 Name

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Last

Participant 6 Adult Contact Name

First

Last

Participant 6 Adult Emergency Contact Phone

Participant 7 Name

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Last

Participant 7 Adult Contact Name

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Last

Participant 7 Adult Emergency Contact Phone

Participant 8 Name

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Last

Participant 8 Adult Contact Name

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Last

Participant 8 Adult Emergency Contact Phone

Participant 9 Name

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Last

Participant 9 Adult Contact Name

First

Last

Participant 9 Adult Emergency Contact Phone

Participant 10 Name

First

Last

Participant 10 Adult Contact Name

First

Last

Participant 10 Adult Emergency Contact Phone

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