Parkland Swimming and Diving Alumni Weekend Registration

Parkland Swimming and Diving Alumni Weekend Registration
Event #1: Emmaus vs Parkland Meet
Location: Parkland High School, 2700 N. Cedar Crest Blvd. Allentown PA
Race Dates: December 21, 2023
Time: Meet Starts 4:00 PM
Do you plan on attending the Emmaus vs Parkland meet on December 21st for our Alumni recognition?

YesNo
Event #2: Parkland Alumni Meet
Location: Parkland High School, 2700 N. Cedar Crest Blvd. Allentown PA
Race Dates: December 23, 2023
Time: Warm up 9:30 AM, Meet Starts 10:00 AM
Participant Information
Full Name

First NameLast Name
Age
Graduation Class
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Person

First NameLast Name
Emergency Person Phone Number

Area CodePhone Number
Relationship to Emergency Contact Person
Event Registration
Please select your age-group

18-2223-3930+
Please select up to 4 individual events and 2 relays

50 yd. Freestyle50 yd. Backstroke50 yd. Butterfly50 yd. Breaststroke100 Ind. Medley100 yd. Freestyle100 yd. Backstroke100 yd. Butterfly100 yd. Breaststroke200 yd Freestyle100 yd. Build your own Med. Relay100 yd. Build your own Free Relay200 yd. Build your own Free RelayDiving 3 dives
Event #3: Post Meet Alumni Reunion
Terms/ Waiver/ Release
Payment Method
I will follow the rule and regulations of the race event. I am in good shape, health, and condition. I don't have any medical condition or medical history that will be affected if I participate in this event and I release the race event organizers for any responsibility in case of an accident, illness, or injury.I confirm that all information in this registration form is accurate and true.
Participant's Signature

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Date Signed

MonthDayYear
Date
Reunion or Donation Options - Your donation will help the 2023-2024 Swimming and Diving Team help pay to items such as; replacing the All American plaques with an updated board, team equipment, new diving robes and other team gear.
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Reunion at Retriever Brewing - Adult$37.00
We will be hosting a reunion party for current and former teammates and their families to mingle from 5-8pm at Retriever Brewing. Your ticket includes entry, dinner and a cash bar. Details subject to change as we get close to the event. $37 per person. Located at 2844 Township Line Rd, Orefield, PA

Quantity

Reunion at Retriever Brewing - Student$25.00
We will be hosting a reunion party for current and former teammates and their families to mingle from 5-8pm at Retriever Brewing. Your ticket includes entry, dinner and a cash bar for 21 and over. Details subject to change as we get close to the event. $25 per student. Located at 2844 Township Line Rd, Orefield, PA

Quantity

Trojan Team$10.00
I cannot make it but I would like to support the team with my donation of $10.00

Quantity

Trojan Pak$25.00
I cannot make it but would like to support the team with my donation of $25.00

Quantity

Trojan Pride$50.00
I cannot make it but I would like to support the team with my donation of $50.00

Quantity

Trojan Forever$100.00
I cannot make it but I would like to support the team with my donation of $100.00

Quantity

Total $0.00
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Parkland Swimming and Diving Alumni Weekend Registration

Event #1: Emmaus vs Parkland Meet

Event #2: Parkland Alumni Meet

Participant Information

Event Registration

Event #3: Post Meet Alumni Reunion

Terms/ Waiver/ Release