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VSAI June 6-7th (All-LCM) Swimmer's Name: Date of Birth: Age: (as of the first day of the meet, June 5th) The Coaching Staff has FINAL approval of ALL Swimmers Events, NO EXCEPTION Event # Distance Stroke Best Time (optional) SHORT COURSE SESSIONS 1 2 3 4 5 LONG COURSE SESSIONS 1 2 3 4 5 6 7 8 9 10 **** Please make all checks out to DAC **** MSI surcharge per swimmer $ $3.00 X # of individual events $ Grand Total Owed $ 3.00.

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