ࡱ> mol'` 9bjbjLULU 4`.?.?jjjjjjjPPPPLH '\ \ \ \ ;!,g!![&]&]&]&]&]&]&$'hT*^&9j!7!;!!!&jj\ \ &/#/#/#! j\ j\ [&/#![&/#/#jj/#\  c^_P!/##&0'/#*!r*/#*j/#x!!/#!!!!!&&%# !!!'!!!!H H H D H H H ~jjjjjj CLUB ROSTER DANCERS INSURED THROUGH ANOTHER CLUB ENROLLMENT FOR THE YEAR 2012. CLUB NAME FORMTEXT      COUNCIL:  FORMTEXT California Square Dance Council, IncASSOCIATION/FEDERATION:  FORMTEXT Northern California Square Dancers AssociationName of Dancer (Last Name first, First Name last)Club / Association Insured Through FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT   bd  R T ǿϸxsokYLh-2CJaJmHnHu#jKh-2h-2CJUaJh-Vh 7 h 7>*"jh-2CJUaJmHnHu#jh-2h-2CJUaJh-2CJaJjh-2CJUaJh 7h 75 h 7h 7h_0CJaJhICJaJh!Oh-2hT2B*CJ$aJ$phh-2hT2B*phh!OCJ$aJ$hHLh!OCJ$aJ$dV Ykd$$Ifl0) " t062 2 44 layt_0 dh$Ifgd 7 $dha$gd!O$a$gdHL9T V   f 嶱qj_jQ_jjOh 7h 7Ujh 7h 7U h 7h 7jh-2UmHnHujh-2Uh-2jh-2UhCEhT2h_0h_0CJaJh h 7 h >*h 7h 5h-2CJaJmHnHu#jh-2h-2CJUaJh-2CJaJjh-2CJUaJh-VCJaJ h 7h   f xl]]$dh$Ifa$gd 7 $$Ifa$gd_0kd$$Ifl0{) t062 2 44 layt_0 xrr$IfkdT$$Ifl0O)] t062 2 44 layt_0 ( P vpp$Ifkd$$IflP0O)] t062 2 44 layt_0    & ( * > @ N P R T h j x z |    4 6 D F H J ^ xj h 7h 7Uj h 7h 7Uj h 7h 7Uj h 7h 7Uj!h 7h 7Ujh 7h 7Ujh 7h 7UjDh 7h 7U h 7h 7jh 7h 7U h 7>*/P R z vpp$Ifkd,$$IflP0O)] t062 2 44 layt_0 vpp$Ifkd$$IflP0O)] t062 2 44 layt_0  F vpp$Ifkd $$IflP0O)] t062 2 44 layt_0F H p vpp$Ifkdg $$IflP0O)] t062 2 44 layt_0^ ` n p r      * , : < > @ T V d f h | ~ ߾߰ߢߔ߆xjh 7h 7Uj#h 7h 7Uj.h 7h 7Ujh 7h 7Uj h 7h 7UjQ h 7h 7U h 7>*j\ h 7h 7U h 7h 7jh 7h 7Uj h 7h 7U, vpp$Ifkd $$IflP0O)] t062 2 44 layt_0  < vpp$Ifkd9$$IflP0O)] t062 2 44 layt_0< > f vpp$Ifkd$$IflP0O)] t062 2 44 layt_0 vpp$Ifkd $$IflP0O)] t062 2 44 layt_0 44 4 4 4"404244464J4L4Z4\4^4r4t44444444444444444߾߮ߠߒ߄vj;h 7h 7Ujh 7h 7Ujh 7h 7Uj^h 7h 7Ujih 7h 7UUjh 7h 7U h 7>*jh 7h 7U h 7h 7jh 7h 7Ujh 7h 7U. 424vpp$Ifkdt$$IflP0O)] t062 2 44 layt_0    FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Number of Club Members this Page  FORMTEXT       2444\44vpp$Ifkd$$IflP0O)] t062 2 44 layt_04444vpp$IfkdF$$IflP0O)] t062 2 44 layt_0445(5vpp$Ifkd$$IflP0O)] t062 2 44 layt_04445555&5(5*5,5@5B5P5R5T5h5j5x5z5|5~55555555555555555 666߾߰ߢߔ̉tfjh^##h^##Ujkh^##h^##U h^##h^##jh^##h^##Ujvh 7h 7Ujh 7h 7Uj h 7h 7Ujh 7h 7U h 7>*jh 7h 7U h 7h 7jh 7h 7Uj0h 7h 7U((5*5R5z5vpp$Ifkd$$IflP0O)] t062 2 44 layt_0z5|555vpp$Ifkd$$IflP0O)] t062 2 44 layt_05556vpp$Ifkd$$IflP0O)] t062 2 44 layt_066 6"66686F6H6J6^6`6n6p6r6t66666666666666666777777,7.7<7>7@7񿸪xjj!h^##hHLUj h^##hHLUjh^##hHLUh^##hHL>*jh^##hHLUj=h^##hHLU h^##hHLjh^##hHLUjHh^##h^##Ujh^##h^##Ujh^##h^##Uh^##h^##>* h^##h^##)6 6H6p6vpp$IfkdS$$IflP0O)] t062 2 44 layt_0p6r666vpp$Ifkd$$IflP0O)] t062 2 44 layt_06667vpp$Ifkd%$$IflP0O)] t062 2 44 layt_077>7f7vpp$Ifkd $$IflP0O)] t062 2 44 layt_0@7T7V7d7f7h7j7~7777777777777777778 8 88"8$8284868J8L8Z8\8^8`8t8v88888vj&h^##hHLUj%h^##hHLUjJ%h^##hHLUjU$h^##hHLUj#h^##hHLUj"h^##hHLUjx"h^##hHLUh^##hHL>*jh^##hHLUj!h^##hHLU h^##hHL-f7h777vpp$Ifkd!$$IflP0O)] t062 2 44 layt_0777 8vpp$Ifkd`#$$IflP0O)] t062 2 44 layt_0 8 848\8vpp$Ifkd$$$IflP0O)] t062 2 44 layt_0\8^888vpp$Ifkd2&$$IflP0O)] t062 2 44 layt_08888888888 9 99999ȼ h h jh-2UmHnHuj(h-2Uh-2jh-2UhHLh hHLhHLCJaJh^##hHL>* h^##hHLjh^##hHLUj''h^##hHLU8889vnndhgd kd'$$IflP0O)] t062 2 44 layt_021:p_0/ =!"C#h$h% D2Enter club's full name. Do not use abbreviations.{$$If^!vh5 5"#v #v":Vl t6,5 5"2 2 yt_0DText8$California Square Dance Council, IncDText9.Northern California Square Dancers Association{$$If^!vh55#v#v:Vl t6,552 2 yt_0{$$If^!vh5]5#v]#v:Vl t6,5]52 2 yt_0~DList each dancer in alphabetical order by last name. One person per line. Do not combine husband, wife and/or children on the same line.tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0tDText8tDText8$$If^!vh5]5#v]#v:VlP t6,5]52 2 yt_0NDText10lThis number is only for those club members that are paying their association membership fee in another club.L@L Normal#5CJOJQJ_HaJmH sH tH DAD Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List j@j !O Table Grid7:V0HH (- Balloon TextCJOJQJ^JaJ` z 2PZno3VWk#$8LMauv.BCWkl$89Mabv./CWXY)))!BmyZZAAAAAAAAAAAAAAAAAAAAAAAAAAA)) 2PZno3VWk#$8LMauv.BCWkl$89Mabv./CWXY0@000 0 0 0 0 0 00 0 0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0@02Zno3VW#$LMuvBCkl89@0000000`p 00 00 0000  00   @000࠷00࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @000࠷ @0 00࠷@0 09000@0 00ȷ00ȷ>@0=>  @0T ^ 46@789  $). P F < 2444(5z556p667f77 8\889 !"#%&'(*+,-/9 ZflxWcikw} !$068DJMY_amsv&,.:@COUWcilx~ "$069EKMY_bntv&,/;ACOUzFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF8  @ 0(  B S  ?Text8Text9Text10xz2O: 122JNPPYYZ23NUVVW#$LMuvBCklYcoz# ^##~*T22/6CEJHL!O]AYvZW{-22M 7I-V_0]Y(-PZno3VWk#$8LMauv.BCWkl$89Mabv./CWX@ gl$gg@{4@@ @ @4UnknownG:Ax Times New Roman5Symbol3& :Cx Arial5& >[`)Tahoma"hĤɤáF  噃!hd24d3QHX)?_0*INSURANCE NOTICEpeggypeggyOh+'0$ 4@ ` l x INSURANCE NOTICEpeggy,2011 Members Insured Through Another Clubpeggy1Microsoft Office Word@^в@C(@_@qJ_՜.+,0 hp|   ' INSURANCE NOTICE Title  !"#$%&'()*+,-./023456789:;<=>?@ABCDEGHIJKLMNOPQRSTUVWXYZ[]^_`abcefghijknRoot Entry F^_pData 1j)1TableF*WordDocument4`SummaryInformation(\DocumentSummaryInformation8dCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q