Ernestown Barracuda Tryout Registration
Sign up to book a swim assessment with EBSC. We will reply with available dates and times.
Swimmer's Name
*
First Name
Last Name
Swimmer's Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Highest Swim Level Passed
*
Gender
*
Please Select
Female
Male
Parent's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How did you hear about EBSC?
Please Select
Word of mouth (friends/family)
Social media (e.g., Facebook, Instagram)
Google search / online search
At a swim meet or competition
From a coach or instructor
Referred by another swim club
Social media / advertisement
Other (please specify below)
Comments or Questions?
Submit
Should be Empty: