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BTC Kick Ball Sign-Up
Player Information
First Name
*
Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Family Email Address
*
Alternate Email Address
*
League
*
Kickball
T-Shirt Size
*
S
M
L
XL
XXL
Gender
*
Male
Female
Age
*
A Friend You Want on Your Team
*
Played in league last year?
*
Yes
No
If applicable, remain on same team?
*
Yes
No
If applicable, name of last year's team
Can Help As
*
Captain
Work Concessions
Marketing
Communications
Sponsorship
Not at this time
Other:
Other:
Game Availability
Check All Dates Available
*
May 20
June 3
June 17
July 1
July 15
Please email me updates on kick ball games
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