Early Athlete Entry

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$80.00

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First Name

Last Name

Address

City, State, Zip Code

Phone Number

Birthday

Grade

Gender Select all that apply Male Female

Personal Best

Club you Attend

Free T-shirt Size

Purchase a raffle Ticket Select all that apply 1 ticket (+ $5.00) 2 tickets (+ $10.00) Buy 3, get one free! (+ $15.00)

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