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PatrickPartington

4801Marguerita Drive

West PalmBeach, FL. 33417

 

Name

Address

Phone #

Email

Level Elite, A, A-, B+, B, C, Beginner

Prefered Position Forward, Mid, Back

USOA Member Number_________

You can join online, or lookup your member number at:

https://usauwh.com/member/index.php

USOA Membership Required for the tournament!!

It is a USOA Santioned.

 

Entry Fee $65 (Postmarked Feb 17th)

Pay-Pal

ppartington1@gmail.com

Patrick Partington

 

$75 (After Feb 17th)

$85 (After March 9th)

Entry Closes March 14th-No On Site Registration

 

For Questions Contact: Patrick Partington

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