Atlantic City Aquatic Club

11th "Bridge-To-Bridge" OW Online Entry Form

Saturday, June 27, 2009
 

ATTENTION !!!

*Advanced entry fee is $20.00 for any race and will be accepted through Saturday, June 23, 2007. Race day entries are $25 for any race.

 

*Checks should be made payable to: Atlantic City Aquatic Club
 Mailed to: Dimitar Petrov, 2032 West Ave., Ocean City, NJ 08226
 
Please, fill-in all required fields!
First*     MI*          Last*   

DOB*  (mm/dd/yyyy)         Gender*            USS#    

Email*       Phone*   ( exp. 800-555-5555)

Address*   City*   State*   Zip*  
T-shirt Size   
Select distance. You are allowed to make multiple selections!
Distance  
Distance  
Distance  

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