ONLINE Registration Form - CURRENT OLY SWIMMERS ONLY USE THIS FORM
2008 Long Course Season
You only need to fill out the items with a *
unless the information has changed. 
There are fields at the bottom of this form that must be filled out.
If you are unsure if it has changed, please fill it out.

Swimmer Information:
*Last Name:
*First Name:
*Middle Initial:  
Preferred Name (if different than first name):
*Group Registering For: Technique         Junior
Senior Red        Senior Blue
College
*Season signing up for:
(Technique and Junior Only)
Spring Only   Spring and Summer
*Tshirt size (Adult/Youth, S-XXL)
 
Contact Information:
Home Address:
Street:
City:
State:
Zip Code:
Home Phone Number:
Father's Name:
Father's Place of Work:
Phone Number:
Cell Phone Number:
Mother's Name:
Mother's Place of Work:
Phone Number:
Cell Phone Number:
*Parent E-mail Address:
for newsletter, etc...
Parent E-mail Address:
any other person that would like the newsletter
Swimmer E-mail Address:
School Attending:
Grade:
Other Information:
*Grocery/SCRIP Commitment:  
Choose one above

*
Code of Conduct
 

By placing an X here I agree both my swimmer and I have read and will abide by the Code of Conduct
 


*
Waiver
 
By placing an X here I agree I have read and agree with the Waiver.  I UNDERSTAND THE CHANGES FROM THE PREVIOUS YEARS PROGRAM.

*required information
 

 


Questions:  Please contact - Nancy Goins kagoins@aol.com  or 248-377-2407