2nd ANNUAL
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ORGANIZED BY THE ALBANY, NY CANNONEERS, THIS TOURNAMENT IS BEING HELD TO PROVIDE FINANCIAL SUPPORT FOR OUR TEAMMATE, MIKE DISCIPIO, WHO WAS PARALYZED IN A FREAK SWIMMING ACCIDENT. PROCEEDS FROM THIS EVENT WILL BE DIRECTLY DISTRIBUTED TO MIKE AND HIS FAMILY. HELP SUPPORT STEM CELL RESEARCH BY VISITING MIKE'S WEBSITE AT: WWW.SCRNY.ORG |
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TOURNAMENT INFORMATION: COST: LOCATION: NOTT ROAD ATHLETIC FIELDS - GUILDERLAND, NY STYLES OF PLAY: 9-MAN INELIGIBLE & CO-ED PRIZES: CONTACT INFORMATION: JIM SHELLENBERGER |
![]() MIKE DISCIPIO - CDFFL HALL-OF-FAME |
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MIKE DISCIPIO BENEFIT FOOTBALL TOURNAMENT REGISTRATION FORM |
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(PLEASE PRINT, FILL-OUT, CLIP AND SEND WITH CHECK OR MONEY ORDER TO THE ADDRESS BELOW) |
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TEAM NAME: ___________________________________________________________________ CITY/STATE: ___________________________________________________________________ CONTACT NAME: _______________________________________________________________ CONTACT E-MAIL: ______________________________________________________________ STYLE OF PLAY (CHECK ONE): 9-MAN INELIGIBLE CO-ED |
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PLEASE MAKE CHECKS/MONEY ORDERS PAYABLE TO: JIM SHELLENBERGER |
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PLEASE MAIL FORM AND PAYMENT TO: JIM SHELLENBERGER |
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