Registration Form

Please complete the below Registration form for each swimmer in your family.





Swimmer's First, Middle and Last Name:
Birthdate:
Home Address:
City State & Zip Code:
E- Mail Address(es):
Home Phone Number:
Cell Phone Number:
Parent's Names:
Please indicate which Program/Season:
    Swim Team - Annual
    Fall, Winter & Spring
    Summer Only
    Spring Swim School
    Training Squad
    Masters

Payment Plan Option:
    Option #1, #2 or #3
    Meet Entry Option -
    in full or by meet entry

Special Needs/Requests:


    





  • L4 & 5: Practice begins 9/6, 9/7 & 9/8: 6-8p @ Linson & 9/9- 6-8p @ Fairland
  • L3 Practice begins 9/20 5:30-6:30pm @ Ashton
  • L2A Practice begins 9/27 @ Fairland
  • L2B & L1 Practice begins 9/28 @ Fairland
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