2018 Swim & Dive Team Registration

Membership Information
Parent/Guardian First & Last Name*
Member #*
Phone Number*
Email Address*
Athlete #1
Athlete First & Last Name*
*
Set Date
Please list any known medical conditions or allergies
Team(s)
Athlete #2
Athlete First & Last Name
Set Date
Please list any known medical conditions or allergies
Team(s)
Athlete #3
Athlete First & Last Name
Set Date
Please list any known medical conditions or allergies
Team(s)
Additional Information
Team cost: $120 per athlete
Please list any additional shirts and sizes, comments, or concerns
* Indicates a required field.
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