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OFFICIAL ENTRY FORM Entry form must be faxed to RICH NAGY AT 603-623-3074 |
Please designate: □ Small School Division □ Large School Division □ Elite Race
| SCHOOL: | COACH: |
| ATHLETIC DIRECTOR: | HOME ADDRESS: |
| SCHOOL PHONE: | CITY, STATE: |
| TOTAL SCHOOL ENROLLMENT (9-12): | HOME PHONE (Required): |
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Check here if you do not want your name, address and phone number
published for all coaches.
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Number (leave blank) |
First Name |
Last Name |
Grade (9, 10, 11, or 12) |