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Swim Team Interest 2021-2022
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First Name
*
Your answer
Last Name
*
Your answer
Grade
*
9
10
11
12
Birthday
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email Address
*
Your answer
Do you currently swim for a USA swim team (example: SwimRVA/NOVA/Dolphin Club)?
*
Yes
No
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