PRUMC

PRUMC High School League

Team Roster

Team Name: _____________________________

Captains Name Date of Birth School Grade Phone Number Email Address

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Players

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Text Box: Please print (in Landscape) and mai, emaill or drop off to:

Peachtree Road United Methodist Church
Sports & Recreation
3180 Peachtree Road NE, Atlanta, GA 30305
(404) 266-2386 Circle payment type (Please Circle):   Cash     Check (pay to PRUMC)     Credit Card: Visa / MC

Amount:$_________ Card/ Check #: ______________________________________ Exp. Date: _________

Cardholder Address (if applicable): _______________________________City__________ St____ Zip_______

Signature: ________________________________________________________Date: ____________

Insurance Liability Waiver must be signed for each player. Go Here: Waiver

Return to PRUMC Sports and Recreation

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Players
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