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Rockbrook Swim Registration
Summer 2022
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Family name
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Mom's first name
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Dad's first name
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Address
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Zip code
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Mom's phone number
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Mom's email
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Dad's phone number
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Dad's email
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Athlete #1 first and last name
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Athlete #1 Birthday and Age as of June 1st 2022
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Male or Female
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Athlete #2 First and Last name
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Athlete #2 Birthday and Age as of June 1st 2022
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Athlete #3 First and Last name
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Athlete #3 Birthday and Age as of June 1st 2022
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Athlete #4 First and Last name
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Athlete #4 Birthday and Age as of June 1st 2022
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