Laserfiche WebLink
�— ' <br /> MOUNDS VI EV ' -2/ <br /> � <br /> ' . ^�U <br /> ^ \ ~' <br /> PARK AND kECR L)lIl0N DEPARTMENT <br /> / <br /> 2401 UlCHN&Y it LO . /' <br /> P <br /> MOUNDS VIEW, MINN . 5:) 112 <br /> K/ <br /> 111/y 784-3055 <br /> APyLKAJloA FOR V!iP!x`IH[NT <br /> rhioIen <br /> _ ___ ______ _ ____ Maureen Elizabeth Hay 19, 1983 <br /> '���� Hxm.' --- <br /> First u l i i l • <br /> n � Date <br /> _ _ 7215 Lee Avenue North, Prooklvn Center, Minnesota 55439 561-4O25 <br /> '`citi,'.` . ( |'/ :., .. -------'---------------- -- _-- <br /> ziy code Telephone No. <br /> As Above <br /> ____________--_---__--_- <br /> :.:|uc�ss ( Peunancht ) ---'- -------- -- -�----- --- <br /> Telephone No. <br /> Pool Director <br /> � __________--_�-_________ _ 0c ` /And Head Mounds View /��D Swim Coach <br /> 1 .� `i �j` '/ Do:-;.i`�'`d ------- -- � -------' <br /> ;E':S<'.i. . V.JA: <br /> • <br /> ' <br /> 2/19/58 T-150-590-210-131 <br /> --'----'---- ------- <br /> �,�h Lit(� <br /> Drivers License Numbec Selective Service Classification <br /> 474-76-3341 <br /> Do y'`u ha '/un�p,c��c ion' %�% <br /> So` i' i Sc �u^ icy Ne.i' ---'--' � -----Yes No N" l�uc Ly <br /> 411 • <br /> ��� �pr» /,%:� <br /> l'yp, .6 Uux/c & Locx/ L1 From 'i\' Diploma Major Hi <br /> Sch��l-_---_' ( Cic' & Sco,r) ( Y.!-1,•) [Yea r) ]� Course <br /> - . _--' .. _ <br /> School <br /> ____ Diploma General -- <br /> Colle <br /> - University of ''^ C--- <br /> ������� - ^`+u^ oa Iyy0 .S. Phy Ed/pl+b Certificate� <br /> - -^`~~`= ! --- ------ <br /> Professional <br /> o` nec | <br /> --------- -- -------------_- _ | I <br /> . <br /> SPECIAL !:UU(8Tl;M OUTSIDE OF SC'/` J.: <br /> `Hor�sbnpe' craining sessions, s `cic, rhy/ hms ` ar Ls & crafcs ` Jr4mcics` camping,..cciv. cjea` athiecicx) Ciccio and explain <br /> b,Low: <br /> ___. Advanced Lifesaving, HSI. First Aid Instructor, CPR Instructor. <br /> ....... _.. Coach, 2 years, Burnsville H.S. Track Coach, 2 years, Henry & Brooklyn Cen <br />