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<HTML>

<HEAD>


<META NAME="description" CONTENT="">
<META NAME="Keywords"    CONTENT="Chris, Claiborne, University, USC, Trojans, Pete, Coach, Football, Detroit, Lions, Minnesota, Vikings, 55, Dick Butkis, Integrity Financial Firm, IFF, AFFK, A Foundaiton For Kids, Nathanael Foundation, Football, NFL, Camps, ">


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<TITLE>Passing League Registration Form (For Coaches Only)</TITLE></head>
<BODY  BGCOLOR="#990000"
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LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

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      <!-- BOF: ./personal-templates/simple/businessnew/layout/l45.layout --> 


<TABLE DIR="LTR" WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#FFCC00"> 
        <TR>
               <TD WIDTH=50% HEIGHT=100% VALIGN="top" BGCOLOR="#990000"> 
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
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<!-- Begin Name -->
                <TD WIDTH=777 HEIGHT=100% BGCOLOR="#FFCC00" VALIGN="top">
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<!-- End Name -->
<!-- Begin Slogan -->
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                                        <TD WIDTH=777 HEIGHT=100%>
                                                <TABLE WIDTH=777 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#990000"> 
                                                        <TR>
<!-- Begin Menu -->
                                                                <TD WIDTH=170 HEIGHT=100% VALIGN="top" BACKGROUND="">
                                                                        <TABLE WIDTH=170 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                                                                <TR>
                                                                                        <TD WIDTH=170 HEIGHT=15 VALIGN="top">
                                                                                                <IMG SRC="widgets/gen_3642.1.gif" WIDTH=170 HEIGHT=15 ALT=""></TD>                                                                                                         
                                                                                </TR> 
                                                                                <TR>
                                                                                        <TD WIDTH=170 VALIGN="top" BGCOLOR="#FFCC00" BACKGROUND="widgets/gen_3604.1.gif">                                                                                                 
                                                                                                
                                                                                                <a href="index.html" onMouseOver="document.images['img6'].src='widgets/gen_3644.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_3643.1.gif'"><img src="widgets/gen_3643.1.gif" alt="Welcome" name="img6" border="0"></a><br>
                                                                                                <a href="news.html" onMouseOver="document.images['img38'].src='widgets/gen_3646.1.gif'" onMouseOut="document.images['img38'].src='widgets/gen_3645.1.gif'"><img src="widgets/gen_3645.1.gif" alt="News and Events" name="img38" border="0"></a><br>
                                                                                                <a href="gpage.html" onMouseOver="document.images['img34'].src='widgets/gen_3648.1.gif'" onMouseOut="document.images['img34'].src='widgets/gen_3647.1.gif'"><img src="widgets/gen_3647.1.gif" alt="Clay's Facts" name="img34" border="0"></a><br>
                                                                                                <a href="gpage.html1.html" onMouseOver="document.images['img36'].src='widgets/gen_3650.1.gif'" onMouseOut="document.images['img36'].src='widgets/gen_3649.1.gif'"><img src="widgets/gen_3649.1.gif" alt="Clay's Clinics" name="img36" border="0"></a><br>
                                                                                                <a href="gpage.html2.html" onMouseOver="document.images['img65'].src='widgets/gen_3652.1.gif'" onMouseOut="document.images['img65'].src='widgets/gen_3651.1.gif'"><img src="widgets/gen_3651.1.gif" alt="Coach's Clinic" name="img65" border="0"></a><br>
                                                                                                <a href="photo_player_flash.html" onMouseOver="document.images['img40'].src='widgets/gen_3654.1.gif'" onMouseOut="document.images['img40'].src='widgets/gen_3653.1.gif'"><img src="widgets/gen_3653.1.gif" alt="Under The Helmet" name="img40" border="0"></a><br>
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                                                                                                <a href="form.html1.html" onMouseOver="document.images['img119'].src='widgets/gen_3658.1.gif'" onMouseOut="document.images['img119'].src='widgets/gen_3657.1.gif'"><img src="widgets/gen_3657.1.gif" alt="Pass League Registration" name="img119" border="0"></a><br>
                                                                                                <a href="profile.html" onMouseOver="document.images['img67'].src='widgets/gen_3660.1.gif'" onMouseOut="document.images['img67'].src='widgets/gen_3659.1.gif'"><img src="widgets/gen_3659.1.gif" alt="The Staff" name="img67" border="0"></a><br>
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<TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top"> 
        <TR>
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                        <TABLE WIDTH=100% HEIGHT=42 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top"> 
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                <TD WIDTH=100% HEIGHT=100% VALIGN="top" BGCOLOR="#990000">
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                                        <TD WIDTH=25 HEIGHT=5 VALIGN="top" BGCOLOR="#990000" BACKGROUND="widgets/gen_3932.1.gif">
                                                <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=1></TD>
                                        <TD WIDTH=100% HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_3451.1.gif">                 
                                                                                                

<TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
<TR>
    <TD WIDTH=100% COLSPAN="2" VALIGN="top">
    <TABLE WIDTH=95% BORDER=0 CELLPADDING=5 CELLSPACING=0 VALIGN="top">
    <TR>
<SCRIPT LANGUAGE="JavaScript">
function validate(frm){
var i = 0;

if (frm.field_123.value=="") return error(frm.field_123);

if (frm.field_124.value=="") return error(frm.field_124);

if (frm.field_126.value=="") return error(frm.field_126);

if (frm.field_125.value=="") return error(frm.field_125);

if (frm.field_127.value=="") return error(frm.field_127);

if (frm.field_128.value=="") return error(frm.field_128);

if (frm.field_144.value=="") return error(frm.field_144);

return true;
}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://204.13.154.215:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="Passing League Registration Form (For Coaches Only)">
<input type="hidden" name="efrom" value="">
<input type="hidden" name="email" value="Info@University55.com">
<input type="hidden" name="esubj" value="Submitted Form Report">
<input type="hidden" name="submit_url" value="onsubmit2.html">
<input type="hidden" name="error_url"  value="onerror2.html">
<input type="hidden" name="order" value="123 124 126 125 127 128 144 ">
<script>
var p = location.pathname;
if (p.charAt(p.length)!='/') {
    p = p.substring(0, p.lastIndexOf('/')+1);
}
document.forms[0].domain.value = location.protocol+'//'+location.host+p;
</script>
        <TD>
        <TABLE border="0" cellpadding="5" cellspacing="5" width="100%">
        <TR><TD colspan=2>&nbsp;</td></TR>
        <input type="hidden" name="name_123" value="Date / Name of Passing Tournament">
        <TR><TD>


<font face='Arial' size='3' color='#000000'>
<b>
Date / Name of Passing Tournament
</b>
</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_123" size=35>
            
            </TD>
        </TR>
        <input type="hidden" name="name_124" value="Name of School">
        <TR><TD>


<font face='Arial' size='3' color='#000000'>
<b>
Name of School
</b>
</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_124" size=35>
            
            </TD>
        </TR>
        <input type="hidden" name="name_126" value="Name of Athletic Director">
        <TR><TD>


<font face='Arial' size='3' color='#000000'>
<b>
Name of Athletic Director
</b>
</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_126" size=35>
            
            </TD>
        </TR>
        <input type="hidden" name="name_125" value="Name of Head Coach">
        <TR><TD>


<font face='Arial' size='3' color='#000000'>
<b>
Name of Head Coach
</b>
</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_125" size=35>
            
            </TD>
        </TR>
        <input type="hidden" name="name_127" value="Coach's Phone No.">
        <TR><TD>


<font face='Arial' size='3' color='#000000'>
<b>
Coach's Phone No.
</b>
</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_127" size=35>
            
            </TD>
        </TR>
        <input type="hidden" name="name_128" value="Coach's Email Address">
        <TR><TD>


<font face='Arial' size='3' color='#000000'>
<b>
Coach's Email Address
</b>
</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_128" size=35><input type="hidden" name="rcpt" value="field_128">
            
            </TD>
        </TR>
        <input type="hidden" name="name_144" value="How Many Players? note: Limit of 20 t-shirts per team">
        <TR><TD>


<font face='Arial' size='3' color='#000000'>
<b>
How Many Players? note: Limit of 20 t-shirts per team
</b>
</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_144" size=35>
            
            </TD>
        </TR>
        
        <TR><TD colspan=2 align=center><input onClick="return validate(form)" type="submit" value="Submit">
            <input type="reset"  value="Reset"></TD>
        </TR>
        </TABLE>
        </TD>
</form> 
    </TR>
    </TABLE>
    </TD>
</TR>
</TABLE>

                                        </TD>                 
                                        <TD WIDTH=25 HEIGHT=5 VALIGN="top" BGCOLOR="#990000" BACKGROUND="widgets/gen_3452.1.gif">
                                                <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=1></TD>                 
                                </TR>
                                <TR>
                                        <TD WIDTH=25 HEIGHT=24 VALIGN="top" BGCOLOR="#990000">
                                                <IMG SRC="widgets/gen_3976.1.gif" WIDTH=25 HEIGHT=24 ALT=""></TD>                                                                                                         
                                        <TD WIDTH=100% HEIGHT=24 VALIGN="top" BGCOLOR="#990000" BACKGROUND="widgets/gen_3455.1.gif">
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</TABLE>
   
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                                                                </TD>
<!-- End Center -->
                                                        </TR>
                                                 </TABLE>
                                        </TD>
                                </TR>
                                <TR>
                                        <TD WIDTH=100% VALIGN="top" BGCOLOR="#FFCC00"> 
                                                <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top"> 
                                                        <TR>
                                                                <TD WIDTH=16 HEIGHT=3  VALIGN="top" BGCOLOR="#FFCC00">
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                                                                        <IMG SRC="widgets/gen_3457.1.gif" WIDTH=16 HEIGHT=3 ALT=""></TD>  
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=16 HEIGHT=8  VALIGN="top" BGCOLOR="#FFCC00" BACKGROUND="widgets/gen_3459.1.gif">
                                                                        <IMG SRC="widgets/gen_3459.1.gif" WIDTH=16 HEIGHT=8 ALT=""></TD>
                                                                <TD WIDTH=100% HEIGHT=3  VALIGN="top" BGCOLOR="#FFCC00">
                                                                        

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="news.html">News and Events</A>|</nobr>

<nobr>|<a href="gpage.html">Clay's Facts</A>|</nobr>

<nobr>|<a href="gpage.html1.html">Clay's Clinics</A>|</nobr>

<nobr>|<a href="gpage.html2.html">Coach's Clinic</A>|</nobr>

<nobr>|<a href="photo_player_flash.html">Under The Helmet</A>|</nobr>

<nobr>|<a href="form.html">Clinic Registration Form</A>|</nobr>

<nobr>|Pass League Registration|</nobr>

<nobr>|<a href="profile.html">The Staff</A>|</nobr>

<nobr>|<a href="catalog.html">Picture Gallery</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>
</center>
</font>

<br>
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br>
<font face="helvetica,verdana, arial" size="1">Copyright © 2010 - 2011 University 55, LLC. All Rights Reserved</font>

</td></tr></table></center>
</TD>
                                                                <TD WIDTH=16 HEIGHT=8  ALIGN="right" VALIGN="top" BGCOLOR="#FFCC00" BACKGROUND="widgets/gen_3460.1.gif">
                                                                        <IMG SRC="widgets/gen_3460.1.gif" WIDTH=16 HEIGHT=8 ALT=""></TD>  
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=16 HEIGHT=14 VALIGN="top" BGCOLOR="#FFCC00">
                                                                        <IMG SRC="widgets/gen_3461.1.gif" WIDTH=16 HEIGHT=14 ALT=""></TD>
                                                                <TD WIDTH=100% HEIGHT=14  VALIGN="top" BGCOLOR="#FFCC00" BACKGROUND="widgets/gen_3987.1.gif">
                                                                        <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=1></TD>
                                                                <TD WIDTH=16 HEIGHT=14  ALIGN="right" VALIGN="top" BGCOLOR="#FFCC00">
                                                                        <IMG SRC="widgets/gen_3985.1.gif" WIDTH=16 HEIGHT=14 ALT=""></TD>  
                                                        </TR>
                                                </TABLE>
                                        </TD>
                                </TR>

                        </TABLE>
                </TD>
                <TD WIDTH=50% HEIGHT=100% VALIGN="top" BGCOLOR="#990000"> 
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
                                <TR>
                                        <TD COLSPAN="2" WIDTH=100% HEIGHT=101 VALIGN="top" BACKGROUND="widgets/gen_3635.1.gif">
                                              <IMG SRC="widgets/gen_3634.1.gif" WIDTH=36 HEIGHT=101 ALT=""></TD>
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                                <TR>
                                        <TD WIDTH=18 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_2262.1.gif">
                                              <IMG SRC="widgets/spacer.gif" WIDTH=18 HEIGHT=16></TD>
                                        <TD WIDTH=100% HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_1721.1.gif">
                                               <IMG SRC="widgets/spacer.gif" WIDTH=6 HEIGHT=16></TD>
                          
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                        </TABLE>
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</TABLE>                
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