Swim 1922 Form 2026

1
Thank you for your interest in participating in our 2026 Swim 1922 Event.

To register your child, please complete this form separately for each child. Please note the time slot assigned to your child and arrive on time.

Also, note that a photographer will be present at the event. If you do not wish for your child to be photographed or recorded on video, kindly inform us in advance.

We kindly request parents to stay with their children for the entire duration of the event.

Thank you for your cooperation, and we look foward to seeing you at the event!
2
Child's Name* This field is required.
First Name
Last Name
3
Age of Child* This field is required.
Please Select
Please Select
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
4
11-16 Arrival Time* This field is required.
Ages 11-16 years. Session 1 p.m.- 2:15 p.m. Please ARRIVE by 12:45 p.m.
5
6-10 years Arrival Time* This field is required.
Ages 6-10 years. Sessions from 11:30 a.m. -12:45 p.m. Please ARRIVE by 11: 25 a.m.
6
Gender
Male
Female
Non binary
Prefer not to say
7
Camper Swimming Ability* This field is required.
Non-Swimmer
Beginner Swimmer (can swim on front 20ft without flotation)
Advanced Swimmer (can pass swim test)
8
Please provide any additional information that you think is important or may affect your child's ability to fully participate in this program.
9
Parent/Guardian* This field is required.
First Name
Last Name
10
Relationship to Child* This field is required.
11
E-mail* This field is required.
12
Cell Phone* This field is required.
13
Participants should bring their own towels and bathing suits. Snacks will be provided at the end of the event.
14
Sign Document* This field is required.
15
Date Signed* This field is required.
Date
Month
Day
Year
Should be Empty: