Club Information

Date of Application

Name of the Club*
Address*
Telephone
Cellphone*
E-Mail Add*
Pool Location

 

President

Name *

STASA No.

PASA No.

 

Team Manager

Name *

STASA No.

PASA No.

Club Head Coach/ Coaches

 

Head Coach

Name *

STASA No.

PASA No.

 

Coach 1

Name

STASA No.

PASA No.

 

Coach 2

Name

STASA No.

PASA No.

 

Coach 3

Name

STASA No.

PASA No.

Club Members 1 to 4

 

Member 1

Name *

STASA No.

PASA No.

 

Member 2

Name *

STASA No.

PASA No.

 

Member 3

Name *

STASA No.

PASA No.

 

Member 4

Name

STASA No.

PASA No.

Club Members 5 to 8

 

Member 5

Name

STASA No.

PASA No.

 

Member 6

Name

STASA No.

PASA No.

 

Member 7

Name

STASA No.

PASA No.

 

Member 8

Name

STASA No.

PASA No.

Club Members 9 to 12

 

Member 9

Name

STASA No.

PASA No.

 

Member 10

Name

STASA No.

PASA No.

 

Member 11

Name

STASA No.

PASA No.

 

Member 12

Name

STASA No.

PASA No.

Club Members 13 to 16

 

Member 13

Name

STASA No.

PASA No.

 

Member 14

Name

STASA No.

PASA No.

 

Member 15

Name

STASA No.

PASA No.

 

Member 16

Name

STASA No.

PASA No.

Club Members 17 to 20

 

Member 17

Name

STASA No.

PASA No.

 

Member 18

Name

STASA No.

PASA No.

 

Member 19

Name

STASA No.

PASA No.

 

Member 20

Name

STASA No.

PASA No.

Club Members 21 to 24

 

Member 21

Name

STASA No.

PASA No.

 

Member 22

Name

STASA No.

PASA No.

 

Member 23

Name

STASA No.

PASA No.

 

Member 24

Name

STASA No.

PASA No.

Club Members 25 to 28

 

Member 25

Name

STASA No.

PASA No.

 

Member 26

Name

STASA No.

PASA No.

 

Member 27

Name

STASA No.

PASA No.

 

Member 28

Name

STASA No.

PASA No.

Club Members 29 to 32

 

Member 29

Name

STASA No.

PASA No.

 

Member 30

Name

STASA No.

PASA No.

 

Member 31

Name

STASA No.

PASA No.

 

Member 32

Name

STASA No.

PASA No.

Club Members 33 to 36

 

Member 33

Name

STASA No.

PASA No.

 

Member 34

Name

STASA No.

PASA No.

 

Member 35

Name

STASA No.

PASA No.

 

Member 36

Name

STASA No.

PASA No.

Club Members 37 to 40

 

Member 37

Name

STASA No.

PASA No.

 

Member 38

Name

STASA No.

PASA No.

 

Member 39

Name

STASA No.

PASA No.

 

Member 40

Name

STASA No.

PASA No.

Club Members 41 to 44

 

Member 41

Name

STASA No.

PASA No.

 

Member 42

Name

STASA No.

PASA No.

 

Member 43

Name

STASA No.

PASA No.

 

Member 44

Name

STASA No.

PASA No.

Club Members 45 to 48

 

Member 45

Name

STASA No.

PASA No.

 

Member 46

Name

STASA No.

PASA No.

 

Member 47

Name

STASA No.

PASA No.

 

Member 48

Name

STASA No.

PASA No.

Club Members 49 to 52

 

Member 49

Name

STASA No.

PASA No.

 

Member 50

Name

STASA No.

PASA No.

 

Member 51

Name

STASA No.

PASA No.

 

Member 52

Name

STASA No.

PASA No.

Club Members 53 to 56

 

Member 53

Name

STASA No.

PASA No.

 

Member 54

Name

STASA No.

PASA No.

 

Member 55

Name

STASA No.

PASA No.

 

Member 56

Name

STASA No.

PASA No.

Club Members 57 to 60

 

Member 57

Name

STASA No.

PASA No.

 

Member 58

Name

STASA No.

PASA No.

 

Member 59

Name

STASA No.

PASA No.

 

Member 60

Name

STASA No.

PASA No.

Club Members 61 to 64

 

Member 61

Name

STASA No.

PASA No.

 

Member 62

Name

STASA No.

PASA No.

 

Member 63

Name

STASA No.

PASA No.

 

Member 64

Name

STASA No.

PASA No.

Club Members 65 to 68

 

Member 65

Name

STASA No.

PASA No.

 

Member 66

Name

STASA No.

PASA No.

 

Member 67

Name

STASA No.

PASA No.

 

Member 68

Name

STASA No.

PASA No.

Club Members 69 to 72

 

Member 69

Name

STASA No.

PASA No.

 

Member 70

Name

STASA No.

PASA No.

 

Member 71

Name

STASA No.

PASA No.

 

Member 72

Name

STASA No.

PASA No.

Club Members 73 to 76

 

Member 73

Name

STASA No.

PASA No.

 

Member 74

Name

STASA No.

PASA No.

 

Member 75

Name

STASA No.

PASA No.

 

Member 76

Name

STASA No.

PASA No.

Club Members 77 to 80

 

Member 77

Name

STASA No.

PASA No.

 

Member 78

Name

STASA No.

PASA No.

 

Member 79

Name

STASA No.

PASA No.

 

Member 80

Name

STASA No.

PASA No.

Club Members 81 to 84

 

Member 81

Name

STASA No.

PASA No.

 

Member 82

Name

STASA No.

PASA No.

 

Member 83

Name

STASA No.

PASA No.

 

Member 84

Name

STASA No.

PASA No.

Club Members 85 to 88

 

Member 85

Name

STASA No.

PASA No.

 

Member 86

Name

STASA No.

PASA No.

 

Member 87

Name

STASA No.

PASA No.

 

Member 88

Name

STASA No.

PASA No.

Club Members 89 to 92

 

Member 89

Name

STASA No.

PASA No.

 

Member 90

Name

STASA No.

PASA No.

 

Member 91

Name

STASA No.

PASA No.

 

Member 92

Name

STASA No.

PASA No.

Club Members 93 to 96

 

Member 93

Name

STASA No.

PASA No.

 

Member 94

Name

STASA No.

PASA No.

 

Member 95

Name

STASA No.

PASA No.

 

Member 96

Name

STASA No.

PASA No.

Club Members 97 to 100

 

Member 97

Name

STASA No.

PASA No.

 

Member 98

Name

STASA No.

PASA No.

 

Member 99

Name

STASA No.

PASA No.

 

Member 100

Name

STASA No.

PASA No.

Club Members 101 to 104

 

Member 101

Name

STASA No.

PASA No.

 

Member 102

Name

STASA No.

PASA No.

 

Member 103

Name

STASA No.

PASA No.

 

Member 104

Name

STASA No.

PASA No.

Club Members 105 to 108

 

Member 105

Name

STASA No.

PASA No.

 

Member 106

Name

STASA No.

PASA No.

 

Member 107

Name

STASA No.

PASA No.

 

Member 108

Name

STASA No.

PASA No.

Club Members 109 to 112

 

Member 109

Name

STASA No.

PASA No.

 

Member 110

Name

STASA No.

PASA No.

 

Member 111

Name

STASA No.

PASA No.

 

Member 112

Name

STASA No.

PASA No.

Club Members 113 to 116

 

Member 113

Name

STASA No.

PASA No.

 

Member 114

Name

STASA No.

PASA No.

 

Member 115

Name

STASA No.

PASA No.

 

Member 116

Name

STASA No.

PASA No.

Club Members 117 to 120

 

Member 117

Name

STASA No.

PASA No.

 

Member 118

Name

STASA No.

PASA No.

 

Member 119

Name

STASA No.

PASA No.

 

Member 120

Name

STASA No.

PASA No.

Club Members 121 to 124

 

Member 121

Name

STASA No.

PASA No.

 

Member 122

Name

STASA No.

PASA No.

 

Member 123

Name

STASA No.

PASA No.

 

Member 124

Name

STASA No.

PASA No.

Club Members 125 to 128

 

Member 125

Name

STASA No.

PASA No.

 

Member 126

Name

STASA No.

PASA No.

 

Member 127

Name

STASA No.

PASA No.

 

Member 128

Name

STASA No.

PASA No.

Club Members 129 to 132

 

Member 129

Name

STASA No.

PASA No.

 

Member 130

Name

STASA No.

PASA No.

 

Member 131

Name

STASA No.

PASA No.

 

Member 132

Name

STASA No.

PASA No.

Club Members 133 to 136

 

Member 133

Name

STASA No.

PASA No.

 

Member 134

Name

STASA No.

PASA No.

 

Member 135

Name

STASA No.

PASA No.

 

Member 136

Name

STASA No.

PASA No.

Club Members 137 to 140

 

Member 137

Name

STASA No.

PASA No.

 

Member 138

Name

STASA No.

PASA No.

 

Member 139

Name

STASA No.

PASA No.

 

Member 140

Name

STASA No.

PASA No.

Club Members 141 to 144

 

Member 141

Name

STASA No.

PASA No.

 

Member 142

Name

STASA No.

PASA No.

 

Member 143

Name

STASA No.

PASA No.

 

Member 144

Name

STASA No.

PASA No.

Club Members 145 to 148

 

Member 145

Name

STASA No.

PASA No.

 

Member 146

Name

STASA No.

PASA No.

 

Member 147

Name

STASA No.

PASA No.

 

Member 148

Name

STASA No.

PASA No.

Club Members 149 to 152

 

Member 149

Name

STASA No.

PASA No.

 

Member 150

Name

STASA No.

PASA No.

 

Member 151

Name

STASA No.

PASA No.

 

Member 152

Name

STASA No.

PASA No.

Club Members 153 to 156

 

Member 153

Name

STASA No.

PASA No.

 

Member 154

Name

STASA No.

PASA No.

 

Member 155

Name

STASA No.

PASA No.

 

Member 156

Name

STASA No.

PASA No.

Club Members 157 to 160

 

Member 157

Name

STASA No.

PASA No.

 

Member 158

Name

STASA No.

PASA No.

 

Member 159

Name

STASA No.

PASA No.

 

Member 160

Name

STASA No.

PASA No.

Club Members 161 to 164

 

Member 161

Name

STASA No.

PASA No.

 

Member 162

Name

STASA No.

PASA No.

 

Member 163

Name

STASA No.

PASA No.

 

Member 164

Name

STASA No.

PASA No.

Club Members 165 to 168

 

Member 165

Name

STASA No.

PASA No.

 

Member 166

Name

STASA No.

PASA No.

 

Member 167

Name

STASA No.

PASA No.

 

Member 168

Name

STASA No.

PASA No.

Club Members 169 to 172

 

Member 169

Name

STASA No.

PASA No.

 

Member 170

Name

STASA No.

PASA No.

 

Member 171

Name

STASA No.

PASA No.

 

Member 172

Name

STASA No.

PASA No.

Club Members 173 to 176

 

Member 173

Name

STASA No.

PASA No.

 

Member 174

Name

STASA No.

PASA No.

 

Member 175

Name

STASA No.

PASA No.

 

Member 176

Name

STASA No.

PASA No.

Club Members 177 to 180

 

Member 177

Name

STASA No.

PASA No.

 

Member 178

Name

STASA No.

PASA No.

 

Member 179

Name

STASA No.

PASA No.

 

Member 180

Name

STASA No.

PASA No.

Club Members 181 to 184

 

Member 181

Name

STASA No.

PASA No.

 

Member 182

Name

STASA No.

PASA No.

 

Member 183

Name

STASA No.

PASA No.

 

Member 184

Name

STASA No.

PASA No.

Club Members 185 to 188

 

Member 185

Name

STASA No.

PASA No.

 

Member 186

Name

STASA No.

PASA No.

 

Member 187

Name

STASA No.

PASA No.

 

Member 188

Name

STASA No.

PASA No.

Club Members 189 to 192

 

Member 189

Name

STASA No.

PASA No.

 

Member 190

Name

STASA No.

PASA No.

 

Member 191

Name

STASA No.

PASA No.

 

Member 192

Name

STASA No.

PASA No.

Club Members 193 to 196

 

Member 193

Name

STASA No.

PASA No.

 

Member 194

Name

STASA No.

PASA No.

 

Member 195

Name

STASA No.

PASA No.

 

Member 196

Name

STASA No.

PASA No.

Club Members 197 to 200

 

Member 197

Name

STASA No.

PASA No.

 

Member 198

Name

STASA No.

PASA No.

 

Member 199

Name

STASA No.

PASA No.

 

Member 200

Name

STASA No.

PASA No.

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