Plainsman Athletic Group Registration

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Email address *

First name *

Last name *

Address 1 *

Address 2 *

City *

State *

ZIP Code *

Cell Phone Number *

Membership Level: *

Executive ($250) Junior ($100)

Memberships are vaild from July 1st to June 30th of the following year. If you have any questions, please contact Athletic Director, Marci Henry (970) 521-6617 or Marci.Henry@njc.edu.

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