SCOOP TAYLOR REGISTRATION FORM

After filling out the form below on your computer screen (use your TAB key to move through the form's fields), print out a copy and send to us, along with a check made out to "Tri-State Tar Heels" for $500, AND your completed team roster.

Here's our address:
Tri-State Tar Heels
113 Hamilton Road
Marlton, NJ 08053

 
 
TEAM NAME
COACH'S NAME
 
AAU CLUB
TEAM AGE GROUP
 
ADDRESS
 
 
CITY
 
 
STATE
ZIP
 
HOME PHONE
WORK PHONE
 
FAX NUMBER
E-MAIL ADDRESS
 

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