2011 Summer Swim Team Registration Packet ... - TeamUnify
2011 Summer Swim Team Registration Packet ... - TeamUnify
2011 Summer Swim Team Registration Packet ... - TeamUnify
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<strong>Summer</strong> <strong>2011</strong> <strong>Summer</strong> <strong>Team</strong> <strong>Registration</strong> <strong>Team</strong> Fees: One Athlete $80<br />
Two or more from same family $140<br />
Athlete’sName(s):<br />
______________________________________Age:_______Birthdate:________<br />
_<br />
______________________________________Age:_______Birthdate:________<br />
_<br />
______________________________________Age:_______Birthdate:________<br />
_<br />
Parent’sNames:___________________________________________________<br />
_____ Email Address:<br />
_______________________________________________<br />
Address:_________________________________________________________<br />
_____<br />
____________________________________________________________<br />
Phone(H)_________________________(W)_____________________________<br />
___ Cell:______________________________Membership<br />
#_______________________<br />
Previous <strong>Swim</strong>ming/Diving Experience? Please<br />
explain:_________________________<br />
________________________________________________________________<br />
_____<br />
Medical Conditions we should be aware<br />
of?__________________________________<br />
________________________________________________________________<br />
_____ T-Shirt Size: Please Circle: Adult Sizes Small Medium Large X-<br />
Large<br />
Youth Sizes Small Medium Large X-Large<br />
________________________________________________________________<br />
_____ For Office Use Only:<br />
<strong>Team</strong> Fee paid $_____________Check #____________<br />
Date:_______________<br />
4/10
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