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SHARKS |
Registration |
Form |
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| Name: |
M/F |
Age: |
DOB |
| Name: |
M/F |
Age: |
DOB |
| Name: |
M/F |
Age: |
DOB |
| Parents' Name |
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| Address |
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| Phone Number |
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email_______________________ |
| Child's t-shirt
size Youth S M
L Adult S M
L XL (if more than one specify) |
| Preference
for WorkAssignment |
Please Circle |
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| Timer |
Scorer/Ribbons |
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Stroke & Turn |
| Concessions |
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Awards Banquet |
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| SPECIFY FAMILY
VACATION DATES IF PLANNED: |
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| Return registration
with check payable for $80 ($90 after June 1st) to: |
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| Make Check Payable to:
Kingsmill Swim Team |
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| c/o Amy Cherry, Treasurer |
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| 106 Tayloe Circle, 23185 |
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