ࡱ> :<9%` !bjbjٕ 8$.......B****,VBv`GT,wyyyyyy$hz9... ..ww..j ȉ*F[0444.D BBBd BBB BBB...... INDIVIDUAL MEET REGISTRATION FORM NAME  FORMTEXT       AAU CARD #  FORMTEXT       ADDRESS  FORMTEXT       PHONE # ( FORMTEXT      )  FORMTEXT      - FORMTEXT       CITY  FORMTEXT       STATE  FORMTEXT       ZIP CODE  FORMTEXT       CIRCLE YOUR GENDER:  FORMDROPDOWN  (double click to choose) BIRTHDATE (MM/DD/YY):  FORMTEXT       / FORMTEXT       / FORMTEXT       SELECT AGE GROUP:  FORMDROPDOWN  (double click to choose) EVENTS IN WHICH YOU WILL BE COMPETING: 1.  FORMTEXT       2.  FORMTEXT       3.  FORMTEXT       4.  FORMTEXT       ENTRY FEE & REGISTRATION INFORMATION $5.00 Per Athlete  Early Registration if received by Wednesday at 11:59:59  DRThjlvx    , . 0 : < ܲܮԞܲ鑉ygԑWgj\hyh>*U#jhyhy>*UmHnHujhyh>*Uhyhy>*jhyhy>*Ujthyhn>*Uhy#jhyhn>*UmHnHujhyhn>*Uhyhn>*jhyhn>*Uhnh#yCJaJhyhnCJaJ"DFH > @ j l p r F H x z gddp2  xgdy gdygdn!< @ B V X Z d f h j ~     , . 0 : < l n ꘬꘬xplhB jhB Ujhyhy>*Uj.hyhy>*Uhyjhyh>*UhnjDhyh>*U#jhyhy>*UmHnHujhyh>*Uhyhy>*jhyhy>*Uhyhn>*(        0 2 4 > @ B D F Z \ ^ h j l r ~ ˻өӥ˕өӥ˅өӥxp`xjhyhB >*UhyhB >*jhyhB >*Ujhyhy>*Uj(hyhy>*Uhy#jhyhy>*UmHnHujhyhy>*Uhyhy>*jhyhy>*UhB hnhdp2jhB UjhB U% N P d f h r t    j l   ,.ެޘވ~UhB h#yjhyhy>*Uj hyhy>*Uhyjhyhy>*U#jhyhy>*UmHnHuj4hyh>*Uhyhy>*jhyhy>*UhnhyhB >*1   f h RTprt04 6 8 "!$!&!(!!!gdnpm. $7.00 Per Athlete  After Wednesday. NO REGISTRATIONS WILL BE ACCEPTED AFTER THESE DATES. HOWEVER, YOU MAY FILL OUT THE FORM, SUBMIT IT, AND PAY THE REGISTRATION FEE AT THE MEET. Waiver On behalf of the member listed above, I hereby waive any and all claims for damages I may have against the sponsors, hosts, and individuals associated with the event, for any and all injuries suffered by me in connection with said event. Also, none of the above are responsible for the loss of personal items in connection with said event.  FORMTEXT        FORMTEXT       (Signature or Keyed Name of Parent or Guardian) Date For Mailing Address email bryantlarry5@aol.com .0NPRT,Vnpt<|8 : N P R \ ^ p r t !!$!(!P!!!!ǿ̞|xh78 j hyhy>*U#jhyhy>*UmHnHuj hyhy>*Ujhyhy>*UhUhyhn>* hy>*hyhy>*hyhB hB 5 hU5 hB 5hB hB 5>*hB h#yhn+6&P1h:pn/ =!8"8#8$8% tDText1tDText2tDText6tDText7tDText8tDText9vDText10vDText11vDText11Df Dropdown1MaleFemalevDText11vDText11vDText11 Df Dropdown2 Primary SubBantamBantam SubMidgetMidgetSubYouthYouth Intermediate Young M/WvDText11vDText11vDText11vDText11vDText11vDText11@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No Liste@ nHTML Preformatted7 2( Px 4 #\'*.25@9CJOJQJ^JaJ$"#$ab 56ab#$<=VWpq)*M0@0@0@0@0@0@0@0@0@0@00@0@0@0@0@000@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0"#$ab 56ab#$<=VWpqM{0{0{0y0y0y0y0{0{0y0y0{0y0y0{0{0{0{0{0y0y0y0y0y0y0y0y0y0{0{0y0{0{0{0  !|ϡy0y0y0y0y0{0{0{0{0 @0< .!  ! ! )5;MY_jv| 6Fx'39@LRZflt(.9EKFFFFFFFFFS FFFS$FFFFFF8  @ 0(  B S  ? Text1Text2Text6Text7Text8Text9Text10 Dropdown1 Dropdown2Text11*Nk6' <`}G:IO  3333 6`x'8999LXf{  U78 dp2gO9Nyn#yB  3 3@4PP P PUnknownGz Times New Roman5Symbol3& z Arial?5 z Courier New"hT&X&  $8824d2HX)?dp222DISTRICT CHAMPIONSHIP INDIVIDUAL REGISTRATION FORM Mark Harris Mark HarrisOh+'0, @L l x  4DISTRICT CHAMPIONSHIP INDIVIDUAL REGISTRATION FORM Mark HarrisINDIV_REG1.dot Mark Harris1Microsoft Office Word@ @@]@ ՜.+,0  hp  Entergy ' 3DISTRICT CHAMPIONSHIP INDIVIDUAL REGISTRATION FORM Title  !"#$%&'(*+,-./02345678;Root Entry F=Data 1Table4WordDocument8$SummaryInformation()DocumentSummaryInformation81CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q