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Enrollment

Enrollment

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Published by judycummins

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Published by: judycummins on Oct 08, 2010
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10/08/2010

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JUNIOR SKI TEAM2010 ENROLLMENT FORMAthlete Information
 
(please print)
First Name_____________________________________ _______ Last Name ________________________ _______ Sex Date of BirthSchool _____________________________ Grade_______ Mailing Address ________________________ City__________________________ Zip_____________________ Home Phone_____________________________________________________________ Work Phone(s)___________________________________________________________ E-mail Address ___________________________________________________________ Heads of Household _______________________________________________________ 
(First and last names of both parents or guardians where the athlete resides)
Home Address ___________________________________________________________ City__________________________ Zip_____________________ 
Have you completed and signed the attached Medical Release? __________________ ENROLLMENT FEES
(Please make check payable to Juneau Ski Club)
2011 Junior Program
(per athlete)
… $1,000 (
if Paid at Open House 10% Discount $900
)
(Plus $25 JSC Family Membership
)………………$ 25$1,025
Please send forms and payment to:
Juneau Ski ClubPO Box 32358Juneau AK 99801
This activity partially funded by the Citizens of the City and Borough of Juneau, Alaska
.

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