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SWIMMER REGISTRATION
Parent Information
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Parent Name (2)
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$15 when paid with registration
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Swimmer Information
Child 1
First
Last
Date of Birth
Date Format: MM slash DD slash YYYY
Age as of date 6/1/20
Please enter a number from
0
to
25
.
Gender
Male
Female
Level
Select
Shark
Jr Shark
*Level to be determined by coaches during first week of practice. Please estimate your swimmer’s ability. Junior Shark – Can swim across the pool in 1 or 2 strokes, but cannot do it repeatedly in succession Shark – Knows 2 - 4 strokes, can swim back-and-forth across the pool in repeated succession
Swimmer Shirt Size
Select
XS
S
M
L
XL
Guaranteed if registering before May 10
Child 2
+ Add Child
Child 2
First
Last
Date of Birth
Date Format: MM slash DD slash YYYY
Age as of date 6/1/20
Please enter a number from
0
to
25
.
Gender
Male
Female
Level
Select
Shark
Junior Shark
Choose one from the drop down
Swimmer Shirt Size
Select
XS
S
M
L
XL
Guaranteed if registering before May 10
Child 3
+ Add Child
Child 3
First
Last
Date of Birth
Date Format: MM slash DD slash YYYY
Age as of date 6/1/20
Please enter a number from
0
to
25
.
Gender
Male
Female
Level
Select
Junior Shark
Shark
Choose one from the drop down
Swimmer Shirt Size
Select
XS
S
M
L
XL
Guaranteed if registering before May 10
Child 4
+ Add Child
Child 4
First
Last
Date of Birth
Date Format: MM slash DD slash YYYY
Age as of date 6/1/20
Please enter a number from
0
to
25
.
Gender
Male
Female
Level
Select
Junior Shark
Shark
Choose one from the drop down
Swimmer Shirt Size
Select
XS
S
M
L
XL
Guaranteed if registering before May 10
Child 5
+ Add Child
Child 5
First
Last
Date of Birth
Date Format: MM slash DD slash YYYY
Age as of date 6/1/20
Please enter a number from
0
to
25
.
Gender
Male
Female
Level
Select
Junior Shark
Shark
Choose one from the drop down
Swimmer Shirt Size
Select
XS
S
M
L
XL
Guaranteed if registering before May 10
Child 6
+ Add Child
Child 6
First
Last
Date of Birth
Date Format: MM slash DD slash YYYY
Age as of date 6/1/20
Please enter a number from
0
to
25
.
Gender
Male
Female
Level
Select
Junior Shark
Shark
Choose one from the drop down
Swimmer Shirt Size
Select
XS
S
M
L
XL
Guaranteed if registering before May 10
Today's Date
Date Format: MM slash DD slash YYYY
*Late Fee after 6/1/20 - $10
Total
$0.00
