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2023 Lexington Swim Club Membership
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Email
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Your email
Primary Member Name
*
Your answer
Secondary Member Name (Adults over 18 only or Parent if Primary is under 17)
Your answer
Child Name, Age and Birthday (Family Membership)
Your answer
Child Name, Age and Birthday (Family Membership)
Your answer
Child Name, Age and Birthday (Family Membership)
Your answer
Child Name, Age and Birthday (Family Membership)
Your answer
Mailing Address (Street, City and Zip)
Your answer
Phone Number with Area Code
(Parent if primary member is under 17)
*
Your answer
Primary Email
(Parent if primary member is under 17)
Your answer
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