Please complete this entry form for each child. Entry fee is $4/event. Maximum of 5 events. Entry deadline is Monday, December 29. All checks, made payable to 'Pennridge Aquatic Club' should be submitted to the "Karen Smith" family folder by December 29th as well. NO LATE ENTRIES ACCEPTED
1. Parents Name: (Required)
2. Email Address: (Required)
3. Swimmer's Name: (Required)
4. Age (as of 10/31/08): (Required)
5. Sex:
6. Events:
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