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* 1. Full Name

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* 2. Do You want to be a Club captain?

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* 3. Facility/Club Name?

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* 4. Are you a judge for any organization currently?

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* 5. If No, Would you be able to get a judge for league nights?

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* 6. Do you have a place/facility to compete at for league nights?

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* 7. Do you own a dock diving facility?

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* 8. Email?

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