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Journey

African American Outdoors Sports Association

5100 Windsor Mill Road, Baltimore, MD 21207, Phone: 443-854-9956

Activity Registration Form

Name: ___________________________________________________________________

Address: ________________________________________________________________

City: _______________________________State: ____________ ZiP: ___________

Phone #: _________________________ Email: _______________________________


Activity Registering For: _______________________________________________

Date of Activity: ______________ Activity Cost: _________________________

Number of Participants: ________ Payment Amount included: ______________

Payment Being Made: (deposit, 2nd, 3rd, balance, etc) ___________________

Send form and payment to above address. Be sure to make a copy for yourself