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Otos of each family member are required and will be maintained with registration form by pool staff. Any abuse of pool rules, access, or privileges will result in suspension. I. Please CIRCLE items below: Circle one: 1. BSTA resident 2. Outside Member Circle one: Family $350 Single $150 Couple $250 Silver Single $125 Silver Couple $200 only $50 Circle one: 10% Swim Team Pool Discount: Yes No II. Amount Paid: $ Swim team Paid by: Check # or Cash III. Please complete the follo.

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