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Name
*
:
Address
*
:
City
*
:
State/Province
*
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Postal/Zip Code
*
:
Email Address
*
:
Phone
*
:
Birthdate
*
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Squad (determined by ranking)
*
:
Saturday 9:30am (all classes 4th-8th in pts.)
Sat 1:00 & 4:30pm (class C&D ranked 1st-3rd)
Sat. 2:30 & 6:00pm (class A&B ranked 1st-3rd)
Age Division
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Boys A
Boys B
Boys C
Boys D
Girls A
Girls B
Girls C
Girls D
MC or VISA Number
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Credit Card Expiration Date
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Sportsmanship Agreement:
I have read and agree to follow the sportsmanship rules
Dress Code Agreement:
I have read and agree to follow the dress code
Pliner.Net is not responsible for the content of member forms.
AFTER YOU SEND THE COMPLETED FORM, YOU WILL NOT RECEIVE A CONFIRMATION PAGE. CHECK KEYSTONETOUR.COM FOR SQUAD SCHEDULES. IF YOU HAVE ANY PROBLEMS, E-MAIL kopan@nauticom.net
