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District Name Date Permanent Address Change Yes No Address 1. BY SIGNING YOU GIVE UP YOUR RIGHT TO RECOVER ANY COMPENSATION FOR ANY PERSONAL INJURIES DAMAGE TO YOUR PROPERTY OR FOR YOUR DEATH ARISING OUT OF YOUR USE OF VERTICAL 19256573595734715736157526657359573475734718657347573472573477657347686565734757355 District Name Date Permanent Address Change Yes No Address 1 Note please only include accessories related to the problem you are having Please list all included accessories Accessories Included Yes 1 2 3 Please describe the problem you are having 57417574545745957460574585746157443574605744957455574545745957 Jr etc Current Address STREET ADDRESS APT CITY PROVINCE POSTAL CODE PREVIOUS ADDRESSES within last years STREET ADDR ESS APT CITY PROVINCE POSTAL CODE STREET ADDRESS APT CITY PROVINCE POSTAL CODE Date of Birth Social Insurance Number MONTHDAYYEAR OP District Name Date Permanent Address Change Yes No Address 1 CoachAthletic Director Signature Date 14438 814 201415 ENTRY DEADLINE POSTMARKED BY MARCH 27 2015 DEXTERUSBC High School AllAmerican Team COACHESATHLETIC DIRECTORS NOMINATION FORM DEXTERUSBC HIGH SCHOOL ALLAMERICAN INFORMATION The United Stat Last name First Name Home address City State Province Postal code Country Graduation year Gender President Vice president Secretary Treasurer Editor Member Member Member Member Member Member Member Member Member Member Key number for office use only YOUR INFORMATION Please print clearly NAME DOB SSN PERSONAL EMAIL HOME PHONE CELL PHONE MAILING ADDRESS APT CITY STATE ZIP POSITION DISTRICT ISD CAMPUS NAME 2 LETS MAKE A DIFFERENCE TOGETHER JOIN TO Please Select Please Select Please Select Please Select Please Select Please Select Please Select Please Select Last Updated March 2013The personal information you provide on the application form is c : Cochin Gymkhana Type of Club : Family Club Postal Address : Cochin Gymkhana, Toc - H Nagar, Vyttila, Kochi – 682019, Ernakulam, Kerala Tele Numbers : +91 484 - 4021217, 2304148, Fax - 23078 This resource is strictly for the use of member schools for as long as they remain members of The PiXL Club. It may not be copied, sold nor transferred to a third party or used by the school after membership ceases. Until such time it may be freely used within the member school.. This resource is strictly for the use of member schools for as long as they remain members of The PiXL Club. It may not be copied, sold nor transferred to a third party or used by the school after membership ceases. Until such time it may be freely used within the member school.. Practical Guide. Biology. Photosynthesis. This resource is strictly for the use of member schools for as long as they remain members of The PiXL Club. It may not be copied, sold nor transferred to a third party or used by the school after membership ceases. Until such time it may be freely used within the member school.. Parents are important. Tonight’s Agenda. Benefits of positive parent involvement in 4-H clubs, projects, and activities.. Gaining parent support.. Potential parent roles.. Expectations parents have and expectation we have for parents..