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St. Jerome Athletic Association’s 40th Annual - page 3 / 3

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CONFLICTS:  (If none, please write “no conflicts” below.)

Date(s)Time(s)

Return this form with the entry fee to:

5th Grade Boys, 5th Grade Girls, 7th grade Girls

Director - Tim Smith                262-560-0599

520 Majestic View Ln.

Oconomowoc, WI  53066

trsmith92@yahoo.com

               Assistant Director – Lori Boyer               262-227-6185

6th Grade Boys, 7th Grade Boys, 8th Grade Boys

Director - Ed Bodus262-201-4380

W326S1480 Forest Hills Dr

Delafield, WI  53018

ed_bodus@msn.com

              Assistant Director – Tim Enright              414-750-6054

Make checks payable to:  St. Jerome Athletic Association

($10 discount if received by December 31, 2010.)

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