Centennial Aquatic Club Odd Age Meet Sunday - Jan. 10th

Please complete this entry form for each child. Entry fee is $4/event. Maximum of 4 events. Entry deadline is December 14th. All checks, made payable to 'Pennridge Aquatic Club' should be submitted to the "Weiss" family folder by December 14th as well. NO LATE ENTRIES ACCEPTED. ENTRIES WILL NOT BE SUBMITTED UNLESS PAYMENT HAS BEEN RECEIVED.

1. Parent's Name: (Required)

2. Email Address: (Required)

3. Swimmer's Name: (Required)

4. Age (as of 10/31/09): (Required)

5. Sex:



6. Morning Session Events:

















7. Afternoon Session Events:













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