Windsor Aquatic Club - Permission Form
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Meet: |
2007 Speedo Eastern Canadian Championships2007 Speedo Eastern Canadian Championships |
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Hosted By: |
CAMO & Swimming/Natation Canada | |||
Location: |
Claude Robillard Centre, Montreal, Quebec | |||
Date: |
February 15 - 18, 2007 | |||
Session Times: |
www.swimming.ca "Swim Meets" | |||
Cost: |
$00.00 | per event |
x _ _ _ _ _ events
= |
$ 62.00 _ _ _ _ _ _ |
Team Surcharge |
$468.00 _ _ _ _ _ _ | |||
Total |
$530.00 _ _ _ _ _ _ |
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Return completed permission form to COACH with payment attached |
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NO LATER THAN - |
Saturday February 10, 2007
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- NO EXCEPTIONS |
Name: |
_______________________________________________ |
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2007
Speedo Eastern Canadian Championships - Montreal, Quebec
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Payment enclosed: |
$____________________ | |
| I am a parent (guardian) of the above child, and in consideration of the Windsor Aquatic Club permitting my child to take part in the aforementioned swim meet, I hereby agree that the Windsor Aquatic Club, its officers, directors, coaches and members shall not, except for negligence, be responsible for any injury, loss, damages or costs which may be suffered or incurred by me or my said child arising out of the said meet, including, but not limited to transportation to and from the meet, accommodation at the meet, and incidental activities while attending the meet. PARTIAL REFUNDS ON TRAVEL AND ACCOMMODATION FEES FOR MEDICAL REASONS ONLY. | ||
| SIGNATURE:___________________________________ DATE:______________ |
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