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Competition__________________________
Location ____________________________
Date________________________________
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Session
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Fee
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1
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__________
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2
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__________
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3
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__________
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4
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__________
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Name_______________________________
Address______________________________
City/State _______________ Zip_________
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5
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__________
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6
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__________
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Mileage @ 0.39/mile
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__________
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Telephone ___________________________
USAG #_____________________________
Signature ___________________________
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Passenger @
$5.00/hr
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__________
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Per Diem,
Hotels, etc.
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__________
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TOTAL
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__________
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Session Fees: Based on 72 competitors maximum.
Add $1.00 per competitor over maximum, add $25.00 for one touch warm-up
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Cert:
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J.O.
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NAT.
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SAL FIG
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Yrs. Judged:
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1
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2
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3
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0-2
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3-6
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7-10
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10+
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ADD
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Fee:
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$40
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$45
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$50
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$55
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$60
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$65
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$70
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$5 $10
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Time between sessions: $10.00 per 1/2 hour after 2 Hrs.
Mileage: 0.39 per mile, Passenger at $5.00 per hour, Tolls paid in
full.
Per Diem: Breakfast: $8.00, Lunch: $10.00, Dinner: $12.00
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