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Program: -- Select One -- ROW COUNT14Fall Adult Softball - Co-EdROW COUNT1Disc Golf Tournament - SeptemberROW COUNT8Kettlebells for FitnessROW COUNT15Creation StationROW COUNT3Teachin' Tots ROW COUNT0Fall Adult Softball - Men's LeagueROW COUNT5Adult Flag Football LeagueROW COUNT28Tai Chi ROW COUNT2NFL Punt, Pass, & KickROW COUNT22Instructional Volleyball CampROW COUNT18Instructional Football CampROW COUNT29Tennis Lessons (Fall)ROW COUNT0Pooch Plunge 2010 ($5 per dog)ROW COUNT0Disc Golf Tournament: September 25thROW COUNT0Adult Volleyball League (Women B)ROW COUNT5Adult Volleyball League (Women A)ROW COUNT4Learn to Dance! CouplesROW COUNT2Men's Basketball LeagueROW COUNT1Fit Club Bootcamp Last Name: First Name: Gender: Male Female Date Of Birth: MM 01 02 03 04 05 06 07 08 09 10 11 12 DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 YYYY 192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009 Grade: (Current School Year) Shirt Size: --Choose One-- Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Adult XXX-Large School Attending: Mother/Father Names: Address: City: State: Zip Code: Home Phone: Cell Phone: Email Address: Emergency Contact: (Name and Phone Number) Interested in Being a Coach? -- Choose -- Yes No Where did you hear of this program?: --Choose One-- Internet ORC Website Ottawa Herald Radio TV Word-Of-Mouth School Newsletter ORC Seasonal Brochure Conference / Tradeshow Other Comments: Method of Payment Credit Card - Via Paypal Waiver of Participation (E-Signature) By clicking "SUBMIT" and in consideration of your accepting my, my child's and/or teammates' entry(ies), I/we hereby, for ourselves, our teammates, our heirs, executors and administrators, waiver and release any and all rights and claims for damages I or my teammates may have against the Ottawa Recreation Commission and its representatives, successors and assigns for any and all injuries suffered by myself, my child or my teammates at any activity on any of the premises sponsored by this group.
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