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Feb 6th, 2020
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| Occupation | School Teacher | | Hobbies | Drinking |
| What Gender & Grade is Your Child (Internal Use Only) | Male | | Do You Coach/Own/Manage a Club, Event or a Lacrosse-Specific Company (Internal Use Only) | No | | How Did You Hear About BOTC? If Referred, Mention Name for Referral Points Program | Friend |
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