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Get the free REGISTRATION FORM - page 1 ** PLEASE PRINT IN INK - lakeplacidoutingclub

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PLEASE COMPLETE BOTH SIDES AND RETURN LAKE PLACID OUTING CLUB WINTER 2013 SCHEDULE REGISTRATION FORM page 1 ** PLEASE PRINT IN INK ** PARTICIPANT NAME: SEX: M F AGE: ADDRESS: BIRTHDATE: CITY: STATE:
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