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	FOXX FIRE SPORTS

					CERTIFIED CHECK OR MONEY ORDERS MADE OUT TO: FOXX FIRE SPORTS MAIL TO: FOXX FIRE SPORTS 79 GREEN SWAMP RD NW SUPPLY NC 28462

TEAM NAME

AGE CLASS

TOURNAMENT & DATE

FIRST NAME

LAST NAME

ADDRESS

HOME PHONE #

CITY STATE ZIP

CELL PHONE #

EMAIL ADDRESS

GAME REQUESTS

GAME REQUESTS
WILL BE GRANTED IN
THE ORDER THEY
ARE RECEIVED

COMMENTS