BRANDYWINE BLUE WAVE LAPATHON
BRANDYWINE STATION TOWNHOUSE ASSOCIATION POOL
Sunday, 7/26/2009
12:00-3:00 pm
TEAM MEMBER: ______________________________			Number of Laps Swam: ________
Goal: _____________________			______________________________
(Number of Laps)			(Team Representative Certification)
Name	Pledge Per Lap $0.00	Maximum Pledge $0.00	Amount Due $0.00	Amount Collected$0.00
Total: