Summer Virtual-Entry Form
One entry per form please
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June Solo entry
$
20.00
Quantity
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10
July Solo entry
$
20.00
Quantity
1
2
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7
8
9
10
August Solo entry
$
20.00
Quantity
1
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10
Solo all 3 months entry
$
50.00
Quantity
1
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8
9
10
Duo June entry
$
30.00
Quantity
1
2
3
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9
10
Duo July entry
$
30.00
Quantity
1
2
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7
8
9
10
Duo August entry
$
30.00
Quantity
1
2
3
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8
9
10
Duo all 3 months entry
$
80.00
Quantity
1
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10
Group June entry
$
50.00
Quantity
1
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3
4
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7
8
9
10
Group July entry
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Group August entry
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Group all 3 months entry
$
125.00
Quantity
1
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10
Credit Card
Participant's Name
First Name
Last Name
Participant(s) names & age as of June 1, 2024
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Name of person that referred you- or put NA
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