New Swimmer Info Form for Swimmers in High School and College
This is Step 1 to register with the Walnut Creek Aquabears. When you submit this form, you will be provided the registration link and re-directed to the Team Registration Page to complete your registration on the team website.
Swimmer's Name:
*
First Name
Last Name
Swimmer's Birthdate:
*
-
Month
-
Day
Year
Date
Swimmer's Age:
*
Please summarize your swimmer's swimming experience :
*
Swimmer's Current USA Swimming or Summer Team:
*
Swimmer's Current High School or College:
*
Please list your swimmers's best times in their top 3 events:
*
Parent/Guardian Name:
*
First Name
Last Name
Parent/Guardian Email:
*
example@example.com
Parent/Guardian Phone:
*
Please enter a valid phone number.
Submit
Should be Empty: