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FIRST ENTRY REGISTRATION FORM

COUNTRY:

Entry of:

Athletics

Girls yes / no

Boys yes / no

Volleyball

Swimming

Basketball

Girls yes / no

Girls yes / no

Boys yes / no

Boys yes / no

Handball

Football

Girls yes / no

Girls yes / no

-------

Boys yes / no

Boys yes / no

Boys

yes / no

Estimated total number of persons in the delegation =

I confirm the participation of the above country in the 1st to abide by the regulations in Bulletin 1.

Pan-American School Games and agree

I confirm that the participants of our delegation undertake to compete against participants from all other countries taking part as requested by the organizers and to participate fully in all activities.

Signed:

Date:

Name:

Position

______

School Sport Authority____________

Correspondence Address:

Tel:

Fax: E-mail:

To be returned by 31 March 2010 to:

Confederação Brasileira do Desporto Escolar Cep: 70331-500 Brasilia/DF – Brasil Telephone: +55 61 3321 6576 or Mobile +55 61 9552 0805 Fax: +55 61 3321 6576 e-mail: cbde@cbde.org.br

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