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Interscholastic Clinic & Tournament August 7-9, 2014 Entry & Registration Form All forms and moneys must be received prior to student riding in the Program Player Name:_________________________________________________ Ag
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Document Date: 2014-05-16 11:24:58

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File Size: 125,55 KB

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City

Charlottesville / /

Company

Virginia Polo Center Inc. / Virginia Polo Inc. / Coach / Virginia Polo Team Inc. / /

Currency

USD / /

Facility

University of Virginia / Virginia Polo Center / Interscholastic Clinic / Forest Lodge facility / /

Holiday

Assumption / /

IndustryTerm

hospitalization insurance / transportation / medical emergency services / /

Organization

University of Virginia Alumni Association / University of Virginia / Polo Training Foundation / United States Polo Association / /

Person

Virginia Polo / /

Position

attorney / coach / representative / Program Player / General / Personal Physician / player / coach / supervisor / Junior Player / /

ProvinceOrState

Virginia / Albemarle County / /

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