Club Name:
Address:
Telephone:
Fax:
Club Number:
Name of Meet:
Select Meet
DQ # 1
DQ # 2
DQ # 3 (Team Cup)
State Championships
Date of Meet:
Select Date
March 14, 2010
December 6, 2009
January 10, 2010
February 14, 2010
Coach:
USAG #:
Safety Certification Expiration:
Coach:
USAG #:
Safety Certification Expiration:
Coach:
USAG #:
Safety Certification Expiration:
Coach:
USAG #:
Safety Certification Expiration:
Competitor Name
USAG #
Level
Birth Date
Age Group
Citizenship
T-Shirt Size
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Level 8
Level 9
Level 10
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Level 5
Level 6
Level 7
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12-14
15-18
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16-18
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8 to 9
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12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
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Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
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8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
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Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
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Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
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Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
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Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
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12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Select 1
Level 8
Level 9
Level 10
Level 4
Level 5
Level 6
Level 7
Select 1
12-14
15-18
12-13
14-15
16-18
6 to 7
8 to 9
10 to 11
12 & Up
7 to 9
Yes
Select Size
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
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Last updated: October 23, 2009.
