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 |
Tournament\Fees: |
Before May 1 |
After May 1 |
*Icebreaker 7:00 start |
$25.00________ |
$30.00________ |
*The Wedgewood Barefoot Challenge |
$40.00________ |
$45.00________ |
**Ontario Provincials |
$50.00________ |
$70.00________ |
*Season Finale |
$40.00________ |
$50.00________ |
Tournament Package (Discount!) |
$135.00________ |
$190.00________ |
OWSA Regular Membership |
Current # |
$15.00________ |
Competitive Membership |
Current # |
$60.00________ |
Total Fees: |
Tournament_____________________ |
Membership_____________________ |
|
Total_____________________ |