| Team Name: * |
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| Are you a PONY Registered team / Organization: |
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| League Affiliation: |
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| City, State: * |
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| Division: * |
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| First Level Tournament: |
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| Second Level Tournament: |
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| Third Level Tournament: |
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| World Series Interest: |
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| Contact Phone: * |
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| Contact E-Mail: * |
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| Contact Address: * |
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| Contact City: * |
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| Contact St, Zip: * |
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| Manager Name: * |
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| Manager Phone: * |
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| Manager E-Mail: * |
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