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2018 Swim & Dive Team Registration
Membership Information
Parent/Guardian First & Last Name
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Member #
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Phone Number
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Email Address
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Athlete #1
Athlete First & Last Name
*
Birthdate
*
Please list any known medical conditions or allergies
Team(s)
Swim Team
Dive Team
Both Swim & Dive Teams
T-Shirt Size
*
Please select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Athlete #2
Athlete First & Last Name
Birthdate
Please list any known medical conditions or allergies
Team(s)
Swim Team
Dive Team
Both Swim & Dive Teams
T-Shirt Size
Please select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Athlete #3
Athlete First & Last Name
Birthdate
Please list any known medical conditions or allergies
Team(s)
Swim Team
Dive Team
Both Swim & Dive Teams
T-Shirt Size
Please select one
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Additional Information
Team cost: $120 per athlete
Please list any additional shirts and sizes, comments, or concerns
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