Club Name: |
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Individual Name: |
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Address: |
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City: |
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Country: |
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Phone: |
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List of Club Skaters |
Name 1: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 2: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 3: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 4: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 5: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 6: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 7: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 8: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 9: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 10: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 11: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 12: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 13: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 14: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 15: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 16: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 17: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 18: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 19: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
Name 20: |
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| Registered in a WIFSA Club:Yes No If no, please provide email: |
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Fee: |
Type | |
SPONSORS:

Harmony Sports | 22 Village Drive | Riverside, RI 02915 | U.S.A. | (800)882-3448
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