Al Fong’s Secret Santa Invite
December 10-11, 2016
Reserve your spot
Please Print Clearly,
Club USAG # ___________________________________ (mandatory)
Club Name: _________________________________________________________________
Address: ___________________________________________________________________
City: ______________________________________ State: _______ Zip: ________________
Contact Person: ______________________________________________________________
Contact Email (Required): _____________________________________________________
To reserve your spot, a $100 deposit can be made before September 1, 2016.
This deposit will be applied to your entry payment. The deposit is non-refundable.
Please give approximate numbers below.
GIRLS TEAMS:
Level 10
Level 9
Level 8
Xcel Diamond
____________
Level 7
Xcel Platinum
____________
Level 6
Xcel Gold
____________
Level 5
Xcel Silver
____________
Level 4
Xcel Bronze
____________
Level 3
Level 2
Deposit $100
Check # ____________________ Date ___________
Your final payment and final competition entry is due by November 1, 2016
Questions? Contact Kathy at
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