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Basketball Banquet 2010 Headcount Form
Please fill in the information below.

First Name
Please enter your first name.
Last Name
Please enter your last name.
E-mail address
Please enter your e-mail address.
Phone number
Please enter your preferred phone number for contact purposes.
Player name
Please enter the full name of the player.
Team
Please choose the team to which this player is assigned.
Player Attending?
Is the player attending the banquet?
[Note that there is no charge for the player.]
Yes
No
Others attending?
Please enter the number of other people who will be attending, including parents, siblings and guests.
Anything Else?
If you have any additional questions, comments, requests for contacting you, or information you need to provide, please enter it below.
 
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