Maple Springs Swim Team 2023 Registration
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Email *
Registration Type *
Birth Date *
MM
/
DD
/
YYYY
Sophia Landes *
T-Shirt Size *
Required
Address *
Preferred Phone (indicate if it's mobile) *
Additional Phone (indicate if it's mobile)
Emergency Contact Information
Name & Phone number(s)
*
Emergency Contact Relationship to Swimmer *
In Case of an emergency, do you authorize the Maple Springs Swimming Pool to arrange any necessary Medical Treatments for your child where prior notification has not been possible.
*
Required
Medical Conditions. Does your child suffer from any medical conditions (allergies, asthma, etc..?)
*
If YES, please provide details.

Personal information collected by Maple Springs Swimming Pool is for the primary purpose of swim team membership requirements and coach information. It will not be released for any form of commercial gain and will be maintained in a secure environment.

By registering with the Maple Spring Swim Team for the 2023 summer season I/We hereby give permission for the Coach and/or a member of the pool staff to photograph and use images for use in team photographs & publications.

I give permission for images of my child to appear on the Maple Springs Swimming Pool Facebook page.

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Required
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