All Island Handicapped Sports Registration Form

Print this page out, the check the appropriate lines and mail to this address:

All Island Handicapped Sports Contact Information

All Island Handicapped Sports
P.O. Box 84
Massapequa, N.Y. 11758

Please send me a registration form

Please send me more information

I would like to make a donation

I would like to help coach

Name: ______________________________________________________________________________________

Address: ___________________________________________________________________________________

____________________________________________________________________________________________

Telephone #: (______) _________-___________

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