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| User ID | Sklatsky |
| Payment Is | Paid |
| Season | 2017 Season |
| Guardian Name | Sheila |
| Last | Klatsky |
| sheely_d@hotmail.com | |
| Home Phone | 2079567492 |
| Mobile Phone | 2073577461 |
| Address | 40 Pleasant Hill Rd |
| City | Falmouth |
| State | ME |
| Zip | 04105 |
| Participant Name | George |
| Last | Klatsky |
| Home Phone | 2079567492 |
| Address | 40 Pleasant Hill Rd |
| City | Falmouth |
| State | ME |
| Zip | 04105 |
| Gender | Male |
| Date Birth | May 29, 2007 |
| School Grade | 5 |
| Which Team | Flag Football (Grades 1-6): $50 |
