SPARTAK SPORTS CLUB
"Serve the Well-Being of Our Community's Children Via Athletic and Academic Activities"
64-34 99th Street
Rego Park, NY 11374
Tel: (718) 459 - 4800
Fax: (718) 897 - 7862
ContactUs@spartakjudo.org
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S P A R T A K  C U P 2010
  PROFILE ENTRY

Enter your profile info in this form.
Name: E-mail: Rank:
Date of Birth: Place of Birth (City, State): How Long with Spartak:
(enter top five championships for each medal you won)
Gold Medalist of: Year Championship Silver Medalist of: Year Championship Bronze Medalist of: Year Championship
1. 1. 1.
2. 2. 2.
3. 3. 3.
4. 4. 4.
5. 5. 5.
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