November 3rd GPAC USA Meet
$5 per event plus a $15 Coaches' Fee
Last Name of Swimmer *
First Name of Swimmer *
Birthdate *
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Age on November 3rd *
First Event-List Event Number, Name of the event, and your best USA time (if you know it) *
Second Event-List Event Number, Name of the event, and your best USA time (if you know it) *
Third Event-List Event Number, Name of the event, and your best USA time (if you know it)
Fourth Event (Optional)-List the Event number, Name of the event, and your best USA time (if you know it)
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