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.
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
First Name
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Last Name
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Middle Initial
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Preferred Name ( If different than first name)
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Group Registering For
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T-shirt Size (Adult/Youth S-XXL)
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Contact Information
Street Address
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City
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State
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Zip Code
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Home Phone Number
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Father's Name
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Father's Place of Work
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Father's Phone Number
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Father's Cell Phone Number
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Mother's Name
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Mother's Place of Work
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Mother's Phone Number
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Mother's Cell Phone Number
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Parent E-mail Address (For Newsletter, etc.)
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Parent E-mail Address (For another person who would like newsletter, etc.)
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Swimmer E-mail Address
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School Attending
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Grade
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Other Information
Grocery/SCRIP Commitment
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Code of Conduct (By checking this box I agree 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*** |
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