OLY Swim School
ON-LINE Registration
April 7 - June 12

Please fill out as much information as you can. You will receive an email confirming your information Please read your confirmation carefully for instructions for completing your registration with OLY and have a great year!

Swimmer Information:
*Last Name:
*First Name:
*Middle Initial:
Preferred Name (if different than first name):
*Birthday (MM-DD-YY):
*Age:
*Sex:	Male Female
*Group Registering For:	Swim School
*How you found out about OLY Swim School
*Choose Swim Level	Level I & 2 Level 3 & 4
Contact Information:
Home Address:
*Street:
*City:
*State:
*Zip Code:
*Home Phone Number:
*Email Address:
Fax Number:
Father's Name:
Father's Place of Work:
Phone Number:
Mother's Name:
Mother's Place of Work:
Phone Number:
School Attending:
Grade:
*required information	***After sending this page, please go back to the information page and click the emergency form link. This must be filled out to finish your registration.