document.write("<!-- Web Form Generator 2.0 --><center><form method=\"post\" action=\"http://www.aweber.com/scripts/addlead.pl\" target=\"_new\"><input type=\"hidden\" name=\"meta_web_form_id\" value=\"657530761\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"titanfootball\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.aweber.com/thankyou-coi.htm?m=audio\" id=\"redirect_8c78e8f04226116a7999f53408092080\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"\"><input type=\"hidden\" name=\"meta_message\" value=\"1\"><input type=\"hidden\" name=\"meta_required\" value=\"name,from,custom Retype above address,custom Phone,custom School,custom Last\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center><div><font size=\"4\"><font face=\"Verdana\">Join the Boylan Football Newsletter to be updated about current events surrounding the Titan Football Program.</font></font> </div></center></td></tr><tr><td>First name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Last:</td><td><input type=\"text\" name=\"custom Last\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Retype above address:</td><td><input type=\"text\" name=\"custom Retype above address\" value=\"\" size=\"20\"></td></tr><tr><td>Phone:</td><td><input type=\"text\" name=\"custom Phone\" value=\"\" size=\"20\"></td></tr><tr><td>School:</td><td><select name=\"custom School\"><option value=\"Boylan\">Boylan</option><option value=\"St. Thomas\">St. Thomas</option><option value=\"Muldoon\">Muldoon</option><option value=\"Other\">Other</option></select></td></tr><tr><td>Type if other:</td><td><input type=\"text\" name=\"custom Type if other\" value=\"\" size=\"20\"></td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom I am a\"> Alumni</td></tr><tr><td colspan=\"2\"><input type=\"checkbox\" name=\"custom Former Player\"> Former Player</td></tr>    <tr><td colspan=2><center></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr></table></form></center>");

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