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Chapter/Lodge Name
Dodgeball Team Name (ex. Tigers)
Chapter Advisors Attending
2017 Dodgeball for Dyslexia Registration Form
Name T-Shirt Size
Please fill out a separate form for each team your group enters into the tournament. Each team must have a different and unique “Dodgeball Team Name” for easy identification. Thank you for your participation and we look forward to seeing you on May 13, 2017 at Spooky Nook Sports Complex. Good luck!