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Please mail or drop off this form and your payment to: Lake Manassas Swim Team C/O David Baird, 7959 Valderrama Court, Gainesville, VA 20155 SUMMER 2016 SWIM TEAM REGISTRATION Swimmer Name DOB AGE

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Please mail or drop refers to the method of submitting a document or form by sending it through mail or dropping it off in person at a designated location.

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