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Maccabi Team OC 2019 Registration

Athlete/Artist Information:
Athlete/Artist's name
Athlete/Artist's date of birth (mm/dd/yyyy)
Age (as of 7/31/19)
Gender
 Male
 Female
Athlete/Artist's email
Athlete/Artist's cell phone
Parent/Guardian Information:
Parent's name(s)
Email
Home phone
Cell phone
Address
City
State
Zip

Location information:
Please select which location your teen plans on attending
 Atlanta July 26 - Aug 2
 Detroit Aug 2- 9

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