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2781 Shell Road, Brooklyn, NY 11223 (718) 7690001 www.matchpoint.nyc SWIMMING / KIDS PROGRAMS / 20152016 SWIMMER INFORMATION First Name Last Name Parent/Guardian Date of Birth Home Phone Male/Female
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2016 2015 nyc matchpoint 7th MasterCard MATCHPONT Fri Adv Oct Exp refundable Amex refunded absences Inter refunds amended enrollment withdrawals participant unused waived Participants payable specified registering waiver NY Guardians hereafter swimmers

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