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2019-2020 Swim Team Registration
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade
*
Choose
K
1
2
3
4
5
6
7
8
Gender
*
Choose
Male
Female
Age
*
Your answer
Swim Experience
*
ex. years on team or lessons
Your answer
Home Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Parent/Guardian 1 first and last name
*
Your answer
Parent/Guardian 1 cell phone number
*
Your answer
Parent 1 email
*
Your answer
Parent/Guardian 2 first and last name
Your answer
Parent/Guardian 2 cell phone number
Your answer
Parent/Guardian 2 email
Your answer
Additional emergency contact first and last name
*
Your answer
Additional emergency contact relationship to student
*
Your answer
Additional emergency contact cell phone
*
Your answer
Student Allergies
*
Your answer
Specify any of your child's health problems
*
Your answer
Doctor Name
*
Your answer
Doctor phone number
*
Your answer
Parent Involvement
*
Choose
Hallway monitor
Lane monitor (no swim knowledge/skill required)
Timer for meets
Lifeguard - certification required
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