Competitive 2023-24 Season Registration Form
Swimmer's Name
*
First Name
Last Name
Swimmer's Date of Birth
*
-
Month
-
Day
Year
Date of Birth
Swimmer's Gender
*
Male
Female
Swimmer's email (if they have one)
Swimmer's Mobile (if they have one)
Competitive Program Selection
*
Novice (Swansea)
Novice (Weston)
Age Group 2
Age Group 1
Junior
Senior
Swimmer's OHIP Number
*
Swimmer's Health Information
(include any known medical conditions, allergies, and medications)
Swimmer's Home Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Parent/Guardian (#1) Information
*
Parent/Guardian (#2) Information
Membership Agreement & Liability Release
*
Photographic Release
*
Email Release
*
Registration and Program Fees
*
I hereby confirm that I have reviewed and agree with the York Swim Club 2023-24 Program Fees as shown on the York Swim Club website - www.yorkswimclub.ca and as shown below
York Swim Club - 2023-24 Competitive Fees
Name of Person completing Registration
*
First Name
Last Name
Email of person completing Registration
*
example@example.com
Date Signed
*
/
Month
/
Day
Year
Date
Signature of person completing Registration (must be over 18)
*
Print
Submit Registration
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