VAUGHAN AQUATIC CLUB-WOODBRIDGE TRYOUT
FULL NAME OF SWIMMER
First Name
Last Name
FULL NAME OF PARENT
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
MOBILE PHONE #
Please enter a valid phone number.
Email
example@example.com
DATE OF BIRTH (7-10 YEAR OLDS ONLY)
*
-
Month
-
Day
Year
Date
LAST COMPLETED SWIMMING LEVEL (PLEASE INDICATE RED CROSS OR LIFESAVING SOCIETY)
Submit
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