2023 Riptide Registration Form

2023 Riptide Swim Team Registration
2023 Riptide Sponsors

To be a sponsor email Pamela Gaylord at gaylord12@yahoo.com
1st Swimmers Name

First NameLast Name
Gender
Age as of June 1st
Date of Birth

MonthDayYear
Date
Has your child swam competitively before?
If yes, how many years?
Does your child swim in a year round program?
Competitive Team or Developmental Team (developmental will have an evaluation on May 23)
Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult 2X-Large
Medical Problems/Allergies
2nd Swimmers Name (leave blank if not applicable)

First NameLast Name
Gender
Age as of June 1st
Date of Birth

MonthDayYear
Date
Has your child swam competitively before?
If yes, how many years?
Does your child swim for a year round team?
Competitive Team or Developmental team?
Medical Problems/Allergies
Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult 2X-Large
3rd Swimmers Name (leave blank if not applicable)

First NameLast Name
Gender
Age as of June 1st
Date of Birth

MonthDayYear
Date
Has your child swam competitively before?
If yes, how many years?
Does your child swim for a year round program?
Competitive Team or Developmental Team
Medical Problems/Allergies
Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large
4th Swimmers Name (leave blank if not applicable)

First NameLast Name
Gender
Age as of June 1st
Date of Birth

MonthDayYear
Date
Has your child swam competitively before?
If yes, how many years?
Does your child swim for a year round program?
Competitive Team or Developmental Team
Medical Problems/Allergies
Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large
- Mother's Name
  
  First NameLast Name
- Mobile Phone
  
  Area CodePhone Number
- Email
  example@example.com
- Father's Name
  
  First NameLast Name
- Mobile Phone
  
  Area CodePhone Number
- Email
  example@example.com
- By signing and submitting the registration form, you understand and agree to all policies.
  
  Please use the PayPal or Venmo button below to pay for your swimmer's registration fee.
  
  If you would like to pay with cash or check please email riptideswim1@gmail.com and let us know.
- Parent/Guardian Signature
  
  First NameLast Name
- Today's Date
  
  MonthDayYear
  Date
- The registration fee this year is $115 per swimmer for the first 2 swimmers. For families with 3 or more swimmers the price is $95 for the 3rd swimmer(s). See below:
- My Products
  prevnext( X )
  
  (1) Swimmer$115.00
  
  (2) Swimmers$230.00
  
  (3) Swimmers$325.00
  
  (4) Swimmers$420.00
  
  (5) Swimmers$515.00
  
  Total $0.00
- Riptide Refund Policy: A full refund of the swim team fee less a $10 administrative fee, will be given if the head coach is notified prior to the day of the first swim meet.
  
  For the non-competitive (developmental) group, refunds will be given (minus the adminstrative fee above) if a swimmer drops out prior to the first practice of the second week.
- Payment Methods
  
  Choose from one of the PayPal options to make your payment.
- Should be Empty:

2023 Riptide Swim Team Registration

2023 Riptide Sponsors