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Name

Tim Burgess

Mobile Phone 5134841247
Home Phone
Work Phone
Address
City Hamilton
Zip Code 45011
Personal Information
Sex Male
Birthday Month Day, Year (year optional, just put 0000 for year)
Soccer Credentials
USSF Grade Grade 8
NISOA Certified none
SAY Certification none
OHSAA State ID
OHSAA Class Class 2
MWSOA Member Since enter the year you first became a member of Midwest
Certified Instructor
Certified Assessor