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Name: |
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Address |
Apt |
City |
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Postal Code |
Phone (h) |
Phone (w) |
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Date of Birth |
Age (as of Jan 1, 1997 |
Division |
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Competitor Signature |
Parent or Guardian |
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Tournament\Fees: |
Before May 1 |
After May 1 |
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*Icebreaker 7:00 start |
$25.00________ |
$30.00________ |
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*The Wedgewood Barefoot Challenge |
$40.00________ |
$45.00________ |
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**Ontario Provincials |
$50.00________ |
$70.00________ |
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*Season Finale |
$40.00________ |
$50.00________ |
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Tournament Package (Discount!) |
$135.00________ |
$190.00________ |
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OWSA Regular Membership |
Current # |
$15.00________ |
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Competitive Membership |
Current # |
$60.00________ |
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Total Fees: |
Tournament_____________________ |
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Membership_____________________ |
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Total_____________________ |