Print out on your computer. Not a direct entry. Fill out printed form and mail with appropriate money to Tom



REGISTRATION



_________ Adults @ $10.............$___________..MAIL TO:..Tom Bridges

_________ Children & Teens...........FREE....................7005 Regent Court

_________ Swimming....@ $2......$___________.........Fort Wayne, IN 46804

...............TOTAL ENCLOSED....$___________

HOW MANY CHILDREN ARE YOU BRINGING THAT WILL REQUIRE NURSERY?___________
SWIMMING IS LIMITED TO GRADES 1 THRU 6.
1998 NORTHEAST AREA ANNUAL MEETING