ONLINE Registration Form
CURRENT OLY SWIMMERS ONLY USE THIS FORM

2008/2009 Short Course Season
You only need to fill out the items with a * unless the information has changed.
If you are unsure if the information has changed, please fill it out.

There are fields at the bottom of this form that must be filled out.

*Last Name
*First Name
*Middle Initial
Preferred Name ( If different than first)
*Group
T-shirt Size (Adult/Youth s-XXL)
Street Address
City
State
Zip Code
Home Phone Number
Father's Name
Father's Place of Work
Father's Phone Number
Father's Cell Phone Number
Mother's Name
Mother's Place of Work
Mother's Phone Number
Mother's Cell Phone Number
*Parent E-mail Address (For newsletter, etc.)
Parent E-mail Address (For another person who wants newsletters, etc.)
Swimmer's E-mail
School Attending
Grade
Grocery/SCRIP Commitment
*Code of Conduct (By checking this box I agree that both my swimmer and I have read and will abide by the Code of Conduct)
*Waiver (By checking this box I agree I have read and agree to the waiver)
 

***You must complete the emergency form for your registration to be accepted***

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