| Name (first) ______________________ |
(middle)___________ |
(last _________________ |
| Birthdate ________________________ |
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| Address _____________________________________________________________________ |
| City ____________________________ |
State ____________ |
Zip __________________ |
| Phone __________________________ |
Cell ______________ |
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| Email ________________________________________________________________________ |
| Age Division Playing in Copper
Bowl _______________________________________________ |
| Credit Card #(MC or Visa only)
______________________________ Exp _______________ |
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| $40 Per Session |
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| ____Session 1 -- BG 12-18 --
December 28, 1-3pm, Tucson Racquet Club |
| ____Session 2 -- BG 12, 14 --
December 29, 1-3pm, Tucson Racquet Club |
| ____Session 3 -- BG 16, 18
-- December 29, 3-5pm, Tucson Racquet Club |
| ____Session 4 -- BG 12, 14 --
December 30, 1-3pm, Tucson Racquet Club |
| ____Session 5 -- BG 16, 18 --
December 30, 3-5pm, Tucson Racquet Club |
| ____Session 6 -- BG 12, 14
-- December 31, 12-2pm, Tucson Racquet Club |
| ____Session 7 -- BG 16, 18
-- December 31, 2-4pm, Tucson Racquet Club |
| ____Session 8 -- BG 16,18
-- December 31, 4-6pm, Tucson Racquet Club |
| ____Session 9 -- BG 12, 14
-- January 1, 2008, 12-2pm, Tucson Racquet Club |
| ____Session 10 -- BG 16, 18
-- January 1, 2008, 2-4pm, Tucson Racquet Club |
| ____Session 11 -- BG 16,18
-- January 1, 2008, 4-6pm, Tucson Racquet Club |
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| Mail entry and fees to:
Dickinson Sports, LLC
9731 N. Cliff View Place,
Tucson, AZ 85704.
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Check payable
to:
Dickinson Sports, LLC |
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Click here
for a printable Application Form
 Click
this image to download free Adobe Reader
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