Captains - Legends Draft

Form

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Captain's Name

First Name

Last Name

Email

Phone

Jersey #

Co-Captain #1

First Name

Last Name

Jersey #

Co-Captain #2

First Name

Last Name

Jersey #

Co-Captain #3

First Name

Last Name

Jersey #

Co-Captain #4

First Name

Last Name

Jersey #

Payment

Discount

Subtotal

Tax

Total USD