2012 Wavemakers Swim Team Registration Form

2012 Wavemakers Swim Team Registration Form
Family Contact Information
Parent Name

First NameLast Name
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number (day)

Area CodePhone Number
Phone Number (evening)

Area CodePhone Number
E-mail for swim info
Emergency Contact

First NameLast Name
Phone Number

Area CodePhone Number
Pool Affiliation
Swimmer Information
Swimmer #1

First NameLast Name
Birth Date

MonthDayYear
Age
Gender
Jr. Team
Medical Concerns
T-shirt size
Swimmer Attendance: Let the coaches know when your swimmer will not be available for swim a meet. Check date(s) when swimmer is unavailable. (Complete to the best of your knowledge at this time)
Meet dates:
Swimmer #2

First NameLast Name
Birth Date

MonthDayYear
Age
Gender
Jr. Team
Medical Concerns
T-shirt size
Swimmer Attendance: Let the coaches know when your swimmer will not be available for swim a meet. Check date(s) when swimmer is unavailable. (Complete to the best of your knowledge at this time)
Meet dates:
Swimmer #3

First NameLast Name
Birth Date

MonthDayYear
Age
Gender
Jr. Team
Medical Concerns
T-shirt size
Swimmer Attendance: Let the coaches know when your swimmer will not be available for swim a meet. Check date(s) when swimmer is unavailable. (Complete to the best of your knowledge at this time)
Meet dates:
Swimmer #4

First NameLast Name
Birth Date

MonthDayYear
Age
Gender
Jr. Team
Medical Concerns
T-shirt size
Swimmer Attendance: Let the coaches know when your swimmer will not be available for swim a meet. Check date(s) when swimmer is unavailable. (Complete to the best of your knowledge at this time)
Meet dates:
Additional T-shirts? Let us know how many and what sizes.
Should be Empty: