2021-22 Girls Swimming & Diving Registration
Welcome to the Girls' Swimming & Diving Team.
Please visit the team website for schedules, practice times, and more helpful information.

www.bloomfield.org/GirlsSwimDive
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Athlete's Last Name *
Athlete's First Name *
Athlete's Grade *
What grade will you be in for the 2021-22 Season
Swimmer or Diver *
Swim Suit Size. *
T-Shirt Size *
Caps & Sammys - Swimmers will receive 2 caps and divers will receive 1 Sammy. Prices listed are 2020 prices. Please note the silicon caps are more expensive *
Athlete's Birthdate *
MM/DD/YY
Athlete's Email *
Athlete's Cell *
Street Address *
City *
Zip Code *
Parent/Legal Guardian Information
Parents that wish to receive news via email and phone calls should enter the information below. We will be sending frequent emails about schedules, bus times, and team info.
Parent #1 Name
Please provide first and last name
Parent #1 Email
Parent #1 Phone
Cell or Home Number
Parent #2 Name
Please provide first and last name
Parent #2 Email
Parent #2 Phone
Cell or Home Number
Submit
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