2010 Lawrence Park Swim Team Registration
Parent Information:
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Parent’s Name(s) |
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Street Address |
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City, State Zip |
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Home Phone # |
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Parent Cell# |
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Parent Cell# |
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E-Mail Address |
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E-Mail Address |
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Swimmer Registration Information:
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Swimmer’s Name |
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Date of Birth |
Amount Paid |
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1 |
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2 |
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3 |
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4 |
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5 |
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Registration Fee is $90.00 per swimmer with a $240.00 family maximum.
Please submit registration and payment no later than May 15th, 2010. Registration forms and payment can be mailed to:
Anthony Diprospero
140 S. Manoa Road
Havertown, PA 19083
Checks should be made out to Lawrence Park Swim Team (LPST).