AppDate:
12/12/12
LastName:
Blaszka
FirstName:
Paul
MidInit:
A
StAddr:
1 Rubson Drive
City:
Danbury
State:
CT
Zip:
06811
HomePhone:
203-778-1097
WorkPhone:
203-778-1097
Email:
pblaszka@snet.net
SSN:
000-00-0000
Age:
21
CanType:
Transfer
PrevAssoc:
CFOA
ContPrevAssoc:
No
Limit:
none
Option_Monday:
ON
Option_Tuesday:
ON
Option_Wednesday:
ON
Option_Thursday:
ON
Option_Friday:
ON
Option_Saturday:
ON
Option_Sunday:
ON
OptionPos_Referee:
ON
OptionPos_Umpire:
ON
OptionPos_Linesmen:
ON
OptionPos_Back:
ON
OptionPos_Judge:
ON
OptionPos_Clock Operator:
ON
OptionPos_Youth:
ON
Sign:
afgloawerg qki
ateSign:
12/12/12

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