Online Piping Entry Form for 10/12/2024

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Name

Age (as of 10/12/2024)

EUSPBA No.

Other PBA member?

Other PBA member Name & Member #

Mailing Address - Street

Mailing Address: City, State, Zip

Best Contact Phone Number

Competing Level

Event Number (s) - (see list of events per your grade)

Amateur Solo Piping $35 (all grades)

Amateur Piping $35 (18 & under)

DUAL ENTRY $50 (competing in both Graded Solo and 18 & under)

Quartets $60 per event (includes both events)

101 Grade 3‐1 M/S/R 102 Grade 3‐1 Medley (3‐7 minutes) 103 Grade SVC Band only - March (3-5 Min)

Please read and date, & sign below: (YYYY-MM-DD)

I/we, the undersigned, on behalf of ourselves, our heirs, estates, and assigns do hereby release and hold harmless the Houston Highland Games Association, Officers, and Volunteers, from any and all personal injuries, thefts, loss, and or damages sustained from participation in any event or while in attendance at the Houston Scottish Highland Games, October 12, 2024. Please acknowledge below:(required)

Total Payment Due (see next page to pay online via PayPal or Zelle)

Online Piping Entry Form for 10/12/2024

Thank you for your response. ✨

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Online Piping Entry Form for 10/12/2024

Thank you for your response. ✨

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