TOP 876 - Legendary • Legendarios USA

TOP 876 - Legendary

DATE: February 27th to March 2nd, 2025

TIME: 2:00pm

LOCATION: 3551 SW 142nd Ave, Davie, FL 33330

Participant's Full Name

Participant's Email

Participant's Phone Number (WhatsApp)

Date of Birth

Full Address

Shirt Size

S

M

L

XL

XXL

3XL

4XL

Physical Condition (1=Poor, 5=Excellent)

1

2

3

4

5

Do you have any medical conditions? Recent surgery? Are you taking any medication?

Do you have any food allergies?

Do you have any food allergies? Are you going with any friends or relatives? (If yes, list the names of each of them)

Which church do you attend?

Name of Wife/Fiancee/Girlfriend/Mother

Email of Wife/Fiancee/Girlfriend/Mother

WhatsApp phone number of Wife/Fiancee/Girlfriend/Mother

Or pay with card

Card

Total: $375

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