Rock Solid Amusement Registration

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Captain Name*

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Address

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Captain MRP (If Known)

NDA#

Radikal Player ID# (Only if playing RADIKAL LEAGUE)

League & Bar Information

League

Home Location or Sponsor

Home Bar if not listed

Team Name

Local Operator

Local Operator Phone

Local Operator Contact

Location (Bar) Name

Team Information

Player 2 Information

Player 2 Name

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Player 2 Address

Player 2 City

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Player 2 Phone

Player 2 MPR (If Known)

Player 2 NDA#

Radikal Player ID# (Only if playing RADIKAL LEAGUE)

Player 3 Information

Player 3 Name

Player 3 Email

Player 3 Address

Player 3 City

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Zip

Player 3 Phone

Player 3 MPR (If Known)

Player 3 NDA#

Radikal Player ID# (Only if playing RADIKAL LEAGUE)

Player 4 Information

Player 4 Name

Player 4 Email

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Player 4 City

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Player 4 Phone

Player 4 MPR (If Known)

Player 4 NDA#

Radikal Player ID# (Only if playing RADIKAL LEAGUE)

Sub 1 Information

Sub 1 Name

Sub 1 Email

Sub 1 Address

Sub 1 City

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Zip

Sub 1 Phone

Sub 1 MPR (If Known)

Sub 1 NDA#

Radikal Player ID# (Only if playing RADIKAL LEAGUE)

Sub 2 Information

Sub 2 Name

Sub 2 Email

Sub 2 Address

Sub 2 City

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Sub 2 Phone

Sub 1 MPR (If Known)

Sub 2 NDA#

Radikal Player ID# (Only if playing RADIKAL LEAGUE)

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