Perkiomen Post 184 Legion Baseball Team - (Pennsburg, PA)

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* Current Year:

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* Mother's Name:

* Mother's Phone & E Mail:

* Father's Name:

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* School Player Attends:

* Team Played on Last Year:

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If printing and mailing this form send it to
Mike Fitzgerald, 1516 Oak Road, Pennsburg, PA 18073

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