1st Partner:
Name: _______________________________________________
Address: _____________________________________________
City: ______________________ State: _________ Zip:
_____________
Phone ( ) _____________________ Age: _____
E-Mail: _____________________________________________
By signing this entry forum I have sufficient health, accident
and liability insurance to cover any bodily injury or property
damage incurred by myself or others as a result of my
participation in this event.
Signature: ___________________________________________
2nd Partner:
Name:
________________________________________________________
Address:
______________________________________________________
City: ______________________ State: _________ Zip:
_____________
Phone ( ) _____________________ Age: _____
E-Mail: _____________________________________________
By signing this entry forum I have sufficient health, accident
and liability insurance to cover any bodily injury or property
damage incurred by myself or others as a result of my
participation in this event.
Signature: ___________________________________________
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