2021 SOLO REGISTRATION FORM

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Email *

SKILL LEVEL *

ADVANCE - Awarded & Placed 1st, 2nd or 3rd (within the past 3 yrs)

PREMIER - Awarded 1st Place OR Overall (ages 16-45+ years)

NAME *

AGE *

GROUP LEADER/GROUP AFFILIATION & Location: City/Country *

STREET ADDRESS: *

CITY: *

ZIP CODE: *

COUNTRY: *

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