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Manchester
Swim Team |
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Senior
Distance Development Swim Meet |
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Southern New Hampshire
University Pool, Manchester NH |
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November 28, 2009 |
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CONTACT INFORMATION |
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Team
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Abbreviations:
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Deck
Coach: |
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Phone:
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Email:
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Entries
Contact: |
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Phone:
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Email:
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Address:
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City:
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State:
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Zip
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ENTRY FEES |
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Individual
Electronic Entries |
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$5.00 = |
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Individual
Non-Electronic Entries |
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$5.50 = |
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1500
Entries |
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$6.00 = |
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1500
Non-Electronic Entries |
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$6.50 = |
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Total: |
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Make check payable to: Manchester Swim Team
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Mail
entries and check to:
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Entry
Deadline:
November 21, 2009 |
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Manchester
Swim Team |
For
e-mailed entries, this form and payment |
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c/o
Rhonda Farrington, Entry Chairperson |
must
be received within four business days |
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3
Ledgewood Road |
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Bedford,
NH 03110 |
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603-264-4152
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Email:
mst@farrington-berg.com |
LIABILITY RELEASE
Any swimmer whose entry is accepted will, for him/herself, his/her heirs,
executors and administrations, waive and release any and all rights and claims
for damages he/she may have against United States Swimming, New England
Swimming, New Hampshire Swim Association, Manchester Swim Team and Southern New
Hampshire University for any and all injuries suffered by him/her at said meet.
In submitting this entry the undersigned team certifies that all athletes in
the entry are registered with USA Swimming.
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Signature
of Authorized Team Official |
Date
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