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2001
ANTEATER REGATTA TEAM
ENTRY FORM |
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SCHOOL:
_________________________________ ADDRESS:_________________________________ |
COACH:
_____________________________ |
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WE WOULD LIKE TO BE
SEEDED IN: _____
Gold _____ Silver |
BOAT INFORMATION: |
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TEAM INFORMATION: |
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POSITION |
DIVISION |
NAME |
YEAR |
DATE OF BIRTH |
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Skipper |
A |
_______________________________ |
_________ |
____________ |
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Crew |
A |
_______________________________ |
_________ |
____________ |
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Alternate |
A |
_______________________________ |
_________ |
____________ |
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Skipper |
B |
_______________________________ |
_________ |
____________ |
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Crew |
B |
_______________________________ |
_________ |
____________ |
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Alternate |
B |
_______________________________ |
_________ |
____________ |
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HOUSING: We desire housing from
___________ to ___________ for _____________ team members FOR HOUSING YOU MUST CONTACT PATTY
O’DESKY AT (949)722-8806 OR podesky@aol.com
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COACHES and PARENTS: A total of _____
coaches and _____ parents will accompany the team. |
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ENTRY FEES Before Dec 4 - $25 per
team/ After Dec 4 - $35 per team = $______________________________ |
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LUNCH FEE DUE$6.00
per person –Must pre-order by Dec 4!! # Saturday__________
x $6.00=__________ |
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Team
Captain Signature: ___________________________________ Date: ______________ |
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OFFICE USE ONLY: Date Received:________ Payment: Check #_________ or Cash
_________ |
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RETURN TO: Anteater Regatta,c/o NHYC, 720 West Bay Ave,
Balboa, CA 92661 - Fax (949) 673-3972 |
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