Artistic Swimming Club Membership Form

Artistic Swimming Club Membership Form

Please complete the form below if you are interested in enrolling your child in our Artistic Swimming Program his information will help us better understand the athlete’s background and place them in the most appropriate training group.Our team will review your submission and contact you with the next steps.
Parent/Guardian Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Child's Full Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
YesNoOther
YesNo
Does the athlete have previous experience in swimming?*
Does the athlete have previous experience in artistic swimming?Please briefly describe your level of experience in artistic swimming: *
If the athlete has trained before, which club are they currently coming from?*
Does the athlete have any medical conditions, allergies, or health concerns we should be aware of?*
What are the athlete’s goals in artistic swimming?*
Emergency Contact Name and Phone*
How did you hear about us?
Social MediaFriends / familyWebsiteBy recommendationOther
Should be Empty: