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DO NOT WRITE IN THIS SPACE BYS USE ONLY Birth Certificate: Yes / Nonpayment: Cash / Ck. #:___Amount Recd: $___Number Registered: 1 / 2 / 3+DIVISION U8 Boys U8 Girls U10 BoysMicrosU12 Boys U12 GirlsU14
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It is without the signature of the attending physician.
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