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2008 Philadelphia Cherry Blossom Tournament Registration Form

Submit this form by 8:00 p.m. Saturday night, March 29, 2008, and save $5.00 off the registration fee! .

All fields are required

Should you need to make changes after submitting the form, please email me (pnassar at vet dot upenn dot edu)

Once your form has been submitted, I will email you a confirmation within 24-48 hours. If you do not receive a confirmation within this time, please re-submit your registration data.

Family (Last) Name
Given (First) Name
Gender: Male    Female
 
AGA ID    
-OR- Not a member
 
Address line 1
Address line 2 (Optional)
City
US State
Zip / Postal Code
 
Phone Number
E-Mail Address
Entry Rank Kyu   Dan   (unless you choose to self-promote, your AGA rating as of Sunday, March 30, 2008 will be used to determine your initial seeding in the tournament)
Date of birth (mm / dd / yyyy)
Name of parent / guardian if under the age of 18
 
To submit this form electronically, click on "Send Entry" below.