Official Square Dance Roster Form

Square Dance Competition
Official Roster

Category	(please check one)
	Adults (18-39)	______
	Seniors (40 & Over)	______
	Intermediate (13-17)	______
	Juniors (8-12 yrs.)	______
	Children (7 & under)	______

Team Name: _________________________ Captain: ____________________

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	Name:		Phone Number:
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X.)	____________________________________________		_________________
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