Dallas Synergy Artistic Swimming Enrollment
2024-2025 Season PLEASE NOTE: Monthly dues are paid in advance in order to pay for pool space. Charges will be sent out by the 15th of the previous month and are due by the 30th. Swimmers who have not paid their tuition will not be permitted to attend practice until tuition is paid.
Swimmer's Name
*
First Name
Last Name
Swimmer's Date of Birth
*
-
Month
-
Day
Year
Date
Swimming Enrollment Level
*
Novice
Intermediate
Adv Intermediate
Age Group
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Email
*
example@example.com
Parent/Guardian #1 Name
*
First Name
Last Name
Parent/Guardian #1 Phone Number
*
-
Area Code
Phone Number
Parent/Guardian #2 Name
First Name
Last Name
Parent/Guardian #2 Phone Number
-
Area Code
Phone Number
Signature
*
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: