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Optimist
International |
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Entrants must read the Essay Contest Official Rules. (Available at the above link) Include this entry form with your essay with title page. This entry form does not satisfy the requirement for a title page to be included with your essay. |
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Application for 2009 Optimist
International Essay Contest Name
__________________________________________________ M F Address_________________________________________________ City
___________________________________________________ State/Province _____________ Zip/Postal Code ____________ Telephone ( ________ )
____________________________________ Date of Birth ______ / ______ /
_______ Age ______________ Sponsoring Optimist Club Name &
No. _Breakfast Optimist Club of Essay Chair’s Name _Brad
Riebel__ Optimist Club Telephone ( 952
) _881-9736_ |
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Note: The winner of the club competition will be required to provide a Social Security Number before advancing to the District and National competition. |
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