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Register Online
Name
*
First
Last
Coaches Name (if different from above)
*
First
Last
Select One
*
Boys Team
Girls Team
Co-Ed Team
Division
*
U-10/11
U-12/13
U-14/15
Team Name
*
Phone Number
*
-
-
Email
*
Comment
*
Payment for team registration is $150 and is to be received no later than May 5th.
Please mail payments to: Interact Events, 13089 Payton Dr. Unit 175. Chino Hills Ca. 91709