Swimming With A Mission Kitchener-Waterloo: Swimmer Registration Form (Winter 2020)

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Registration for Swimming With A Mission (S.W.A.M.) is an exclusively online process. Those without computer/internet access may, however, contact us at (enter email here) to request that a S.W.A.M. volunteer register information on their behalf.

The first step towards registration with S.W.A.M. is completion of the enrollment form below. After submitting this form, you will be contacted by one of our volunteers to ensure you are still interested in having your child participate.

Email *

Primary Parent Contact Information

Please provide the following information.

First Name (Primary Parent) *

Last Name (Primary Parent) *

Telephone Number *

Confirm Telephone Number *

Secondary Contact Information

First Name (Secondary Contact) *

Last Name (Secondary Contact) *

Telephone Number (Secondary Contact) *

Email Address (Secondary Contact) *

Please provide the following information.

Did your swimmer participate in the Fall 2019 session with S.W.A.M. Kitchener-Waterloo? *

Yes

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