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High Jump Clinic Registration Form: Complete and return
with fees by June 4th, 2003. Name: ________________________________________________________ Coach:________________________________________________________ Club or School: _________________________________________________ Date of Birth:___________________________________________________ Home Address:_________________________________________________ City: _____________________ Email:_______________________________ Fees Payable BC Athletics Member ___ $5.00 Non BC Athletics Member ___ $10.00 Receipt required? Yes___ No___ Payment Information Credit Card Number: __________________________________ Cardholder (please print) _______________________________ Amount $___________ Expiry Date: __________ Please Pre-Register by June 4th, 2003 Return to: BC Athletics, c/o Eugene
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