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2019-2020 JC Swimming Informational Form
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Student Number
*
Your answer
Birthdate
MM
/
DD
/
YYYY
Gender
Female
Male
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Fall 2019 Grade Level
*
8th Grade (2024)
Freshmen (2023)
Sophomore (2022)
Junior (2021)
Senior (2020)
Other:
Student cell number
Your answer
Student Email address
Your answer
Favorite Stroke
*
Your answer
T-shirt Size
*
Small
Medium
Large
XL
Other:
Short Size
*
Small
Medium
Large
XL
Other:
Sweatshirt Size
*
Small
Medium
Large
XL
Other:
Are you currently swimming on a team
*
Yes
No
If yes, What team
Your answer
Parent Guardian 1 First Name
*
Your answer
Parent Guardian 1 Last Name
*
Your answer
Parent Guardian 1 Email Address
*
Your answer
Parent Guardian 1 Phone Number
*
Your answer
Parent Guardian 2 First Name
Your answer
Parent Guardian 2 Last Name
Your answer
Parent Guardian 2 Email Address
Your answer
Parent Guardian 2 Phone Number
Your answer
Emergency Contact First Name
*
Your answer
Emergency Contact Last Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
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