Blue Planet Travel Corp

Team Name:
Alternate Team Name:
Team Colors:
Manager / Coach:
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
### - ### - ####
Team Captain
Number of players
Sport Option

Soccer 7 a side

Futsal

Ultimate Frisbee
Category

Junior (Elementary and High School)

Senior Ladies (College and above)

Senior Men (College and above)
Signature

Please type your initials
Date of Registration
MM / DD / YYYY
Email
Mobile Number

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For inquiries, email us at : Lifegames2011@blueplanetbooking.com

OFFICIAL LIFE GAMES WEBSITE WILL BE ONLINE ON AUGUST 5, 2011.

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