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o s e v i�l rill iiiii iiiii iii ° i�i� 0 1i <br /> A d u ��I I ir <br /> 2012 / 2013 <br /> j <br /> I, �I <br /> Mora , <br /> Adult Co-Rec Broomball <br /> => All leagues are Co-Rec and played outdoors. <br /> => Players provide their own legal brooms, balls, and helmets (required for all players). <br /> => League play begins the Nveek of December 16th weather permitting. <br /> => Registration is first come first served until deadline on December 7th or until program is fill. <br /> g 1 g� <br /> => Minimum of 4 and maximum of 8 teams per league. <br /> League Program# Day Location Fee <br /> Co-Rec C 5110.349 Wed. Autumn Grove Park $325 <br /> Co-Rec D 5110.350 Wed. Lexington Park $325 <br /> Co-Rec D 5110.351 Sun. Lexington Park $325 <br /> r r� <br /> Register by mail/in person: <br /> Roseville City Hall Manager's Name D.O.B. <br /> Roseville Parks and Recreation Dept. <br /> 2660 Civic(enter Drive Team Name <br /> Roseville,MN 55113 Address City State Zip: <br /> On line: <br /> www.ci.roseville.mn.us/parks Home Phone Alternate Phone <br /> By Fax:651-792-7100 <br /> By phone: 651-792-7110 E-Mail Address <br /> E-mail: eric.boettcher @ci.roseville.mn.us <br /> Program# League Fee Enclosed ; <br /> ry Paid by: Check Cash Visa_ MC American Express <br /> Credit Card# <br /> ,. Name on Credit Card Exp.Date <br />