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* 1. First Name

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* 2. Middle Name

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* 3. Last Name

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* 4. Suffix

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* 5. Address Lines

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* 6. City*

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* 7. State/Province*

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* 8. Postal Code*

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* 9. Email*

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* 10. Confirm Email*

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* 11. Phone*

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* 12. Virtual Training date to attend

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* 13. Do you currently referee Goalball games? If yes, where?

Thank you for registering for a Virtual Goalball Official training. You will receive a ZOOM link specific to the date you registered. For any specific questions you have regarding the training, please contact Linda Welborn at LWelborn@usaba.org

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