Last Chance Invitational Meet

Please complete this entry form for each child. Entry fee is $4/event. Maximum of 4 events. Entry deadline is January 11th. All checks, made payable to 'Pennridge Aquatic Club' should be submitted to the "Weiss" family folder by January 11th as well. NO LATE ENTRIES ACCEPTED. SWIMMERS WILL NOT BE ENTERED UNTIL 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. 8 & Under Events:






6. 10 & Under Events:







7. 12 & Under Events:







8. 14 & Under Events:







9. Open Events







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