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Insurance Information
If you are injured, please complete the form below, including any required signatures.
Mail, email, or fax your completed form to the State Office
4678 Valleydale Road Suite 200
Birmingham, AL 35242
Fax: 205-991-3736
email:
martha@alabamayouthsoccer.org
Adult Insurance Forms
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© Copyright 2011 Alabama Youth Soccer Association. All rights reserved.
© Copyright 2011 Demosphere International, Inc. All rights reserved.