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ODYSSEY SPORTS

2004 Junior Olympic Registration form

 

Please complete all of the following

Name             

Street Address

City, State, Zip

Social Security # ____________________________________________________________

Phone #           ________________________            Email   _________________________

Date of Birth

School District 

T-shirt size      __________    Sweatshirt size  ___________  Shorts size ____________

Number choice (numbers 1-99 will be given on a first come – first serve basis!)

            1st ____________       2nd ____________       3rd ______________

 

Please enter the appropriate fees on the lines at the far right and then total at the bottom.

 

ODYSSEY SPORTS JUNIOR OLYMPIC FEE ($375.00)              ___________________

PRESEASON WORKOUT FEE ($40.00)                                       ___________________

EAST COAST CHAMPIONSHIPS FEE ($235.00)                        ___________________

 

TOTAL                                                                                              ___________________

 

I HAVE READ ALL OF ODYSSEY SPORTS’ POLICIES.  PLEASE SIGN BELOW.

 

 

Please Send Check Payable To:

Frank Stackiewicz

887 Blue Ridge Road

Pittsburgh, Pa 15239

 
Parent/Guardian Signature                     Date                 Player                                                   Date