The Barefoot Wine AVPNext Series - Monday nights, A and AA - Same Gender only

Here is the necessary Form that MUST be filled out by all players!

Your First Name        Last Name        Gender   

Email Address         Phone Number (ex: 555-555-5555)   

Your Birth Date (mm/dd/yy)       Is this a Renewal or a New Membership?   

Street Address   

City        State (ex: TX)         ZIP (5-Digit)   

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