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English (US)
York Intro to Competitive 2023-24 Season Registration Form
Swimmer's Name
*
First Name
Last Name
Gender (of Swimmer)
*
Male
Female
Swimmer's Date of Birth
*
-
Month
-
Day
Year
Date
Swimmer's Mobile (if they have one
Please enter a valid phone number.
Swimmer's email (if they have one)
example@example.com
Swimmer's Home Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Swimmer's OHIP #
*
Swimmer's Health Information (please include any known conditions, allergies, medications)
Parent/Guardian (#1) Information
*
Parent/Guardian (#2) Information
Registration and Program Fees
*
I hereby confirm that I have reviewed and agree with the York Swim Club 2023-24 Intro to Competitive Fees as shown on the York Swim Club website (www.yorkswimclub.ca) and below for the swimmer(s) named on this registration form
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)
*
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