2020 Parkwood Piranhas Swim Team Registration

Parkwood Piranhas

2022 Swim Team Registration
Is this your family's first year with the Parkwood Swim Team? *

No Yes
Family Name *
Primary surname associated with swimmer(s) registration
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Adult Contact Info: Parent or Guardian
Adult 1 *

First Name Last Name
Phone Number *
Primary E-mail *
Adult 2

First Name Last Name
Secondary E-mail
Secondary Phone Number
Emergency Contact *

First Name Last Name
Emergency Phone Number *
Age 15+ Teen E-mail
If you want your 15+ teen(s) to receive swim team emails and approve of them being added to the google group, please enter their email address(es) here.

Swimmers

* Note: Swimmers ages 5 to 18 yrs as of June 1, 2022 are eligible to register.
Swimmer 1 *

First Name Last Name
Gender 1 *
DOB Swimmer 1 *

Month Day Year
Date
Shirt Size 1 *
Included for Swim Team Participants
How many years (including 2020 and 2022) has the swimmer been swimming with DSSL? If more than 10yrs, indicate the number using the second drop-down menu. *
Would you like to add another swimmer?

Yes No
Swimmer 2

First Name Last Name
Gender 2
DOB Swimmer 2

Month Day Year
Date
Shirt Size 2
Included for Swim Team Participants
How many years (including 2020 and 2022) has the swimmer been swimming with DSSL? If more than 10yrs, indicate the number using the second drop-down menu.
Would you like to add another swimmer?

Yes No
Swimmer 3

First Name Last Name
Gender 3
DOB Swimmer 3

Month Day Year
Date
Shirt Size 3
Included for Swim Team Participants
How many years (including 2020 and 2022) has the swimmer been swimming with DSSL? If more than 10yrs, indicate the number using the second drop-down menu.
Would you like to add another swimmer?

Yes No
Swimmer 4

First Name Last Name
Gender 4
DOB Swimmer 4

Month Day Year
Date
Shirt Size 4
Included for Swim Team Participants
How many years (including 2020 and 2022) has the swimmer been swimming with DSSL? If more than 10yrs, indicate the number using the second drop-down menu.
Would you like to add another swimmer?

Yes No
Swimmer 5

First Name Last Name
Gender 5
DOB Swimmer 5

Month Day Year
Date
Shirt Size 5
Included for Swim Team Participants
How many years (including 2020 and 2022) has the swimmer been swimming with DSSL? If more than 10yrs, indicate the number using the second drop-down menu.

Swim Team Fees

Registration fee includes a Piranha t-shirt and latex swim cap for each swim team member. Fees are $135 per swimmer for Parkwood Swim Club Members and $235 per swimmer for non-members. Early Bird $15 discount available during April. Enter "EARLYFISH" in coupon code box. Please note: the 2022 Swim Team Registration Fee does not include the required flat $14 Swimmingly fee which must be paid by the parent/guardian directly to Swimmingly for each swimmer.
Spirit Wear

All swim team participants receive a Parkwood Piranhas 2022 Team T-shirt and latex swim cap as part of the swim team registration fee. Shirts may also be purchased as spirit wear for family and friends. There will be a second shirt order if you do not choose to order additional shirts at registration. Deadline for second order is May 27. Note: There is a $3 upcharge for 2X+ and tall sizes. Because the Ladies t-shirt usually runs small, we suggest sizing up from the size you normally wear.
We are celebrating the 50th Anniversary of Parkwood Swim Team this year and our t-shirts will reflect this milestone. The design includes various versions of our fish mascot from past years, featuring the colorful, retro piranha designed by Coach Gretchen and pictured below. The vintage red shirt color selected only comes in Unisex and Ladies styles (tanks and dryfit options will not be offered this season).

Size	Quantity	Price
S		$ 15.00
M		$ 15.00
L		$ 15.00
XL		$ 15.00
2XL		$ 18.00
3XL		$ 18.00
4XL		$ 18.00

Size	Quantity	Price
S		$ 15.00
M		$ 15.00
L		$ 15.00
XL		$ 15.00

Payment
Method of payment

Check (preferred) Cash (please contact a parent rep)
Bank Name
ex. BOA ST, CFCU, SECU
Check #
ex. 9625
Checks payable to Parkwood Swim Club and mailed to:

Parkwood Swim Club

c/o Lisa Vook

711 South Bend Dr.

Durham NC 27713

For cash or alternate payment form, please contact a parent rep: piranhas.info@gmail.com
Is there any additional information we should know about regarding your registration?
Enter explanation or clarification info here OR email piranhas.info@gmail.com.
Attention: Don't forget to click the SUBMIT button on the next page to finalize your registration.

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Size	Quantity
Youth S
Youth M
Youth L
Youth XL

Parkwood Piranhas

Adult Contact Info: Parent or Guardian

Swimmers

Swim Team Volunteer Preferences

Swim Team Fees

Spirit Wear

Shopping Cart

Payment

Enter coupon