SheStrong Inc Proudly Presents:	
USAT Youth Splash & Dash
August 5, 2023 
Participant Application
Youth Name (First and Last):___________________________________
Date of Birth:_______________________________________________
Address:___________________________________________________
Email:_____________________________________________________
Parents Name (First and Last):_________________________________
Age on Race day:____________________________________________
□  Boy				□ 	Girl

If you would like to volunteer, please contact us at shestrong@yahoo.com