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Please detach and send to:
RRC
P.O. Box 183
Reynoldsville, PA 15851
Swimmers Name:__________________________________________
Address:________________________________________
City:__________________________State:_____________
Phone:______________________
Parents Signature:___________________________
Prior swimming experience:
Please circle what strokes you have experience in:
Freestyle Breast Butterfly Back
Please check one:
____I have been on a swim team for ____ years
____I have never been on a swim team