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Fold Along This Line

Name _______________________________________ Jersey #_______. Name _______________________________________ Jersey #_______. Birth Date ________________________ AYSO ID #______________. Birth Date ________________________ AYSO ID #______________.

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Fold Along This Line

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  1. Name_______________________________________ Jersey #_______ Name_______________________________________ Jersey #_______ Birth Date________________________ AYSO ID #______________ Birth Date________________________ AYSO ID #______________ Sect./Area/Reg._____________________________ Div #___________ Sect./Area/Reg._____________________________ Div #___________ City________________________________________________________ City________________________________________________________ _____________________________ _____________________________ Player Signature Facial photograph taken within the year Player Signature Facial photograph taken within the year _____________________________ _____________________________ RC Signature RC Signature AYSO 2004 Florida State Games AYSO 2004 Florida State Games Fold Along This Line Fold Along This Line Fold Along This Line Fold Along This Line Host Area 141 Host Region 644 Weston, Florida Host Area 141 Host Region 644 Weston, Florida Name_______________________________________ Jersey #_______ Name_______________________________________ Jersey #_______ Birth Date________________________ AYSO ID #______________ Birth Date________________________ AYSO ID #______________ Sect./Area/Reg._____________________________ Div #___________ Sect./Area/Reg._____________________________ Div #___________ City________________________________________________________ City________________________________________________________ _____________________________ _____________________________ Player Signature Facial photograph taken within the year Player Signature Facial photograph taken within the year _____________________________ _____________________________ RC Signature RC Signature AYSO 2004 Florida State Games AYSO 2004 Florida State Games Host Area 141 Host Region 644 Weston, Florida Host Area 141 Host Region 644 Weston, Florida

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