Summer 2025 Registration

Swimmer Information

Swimmer First Name*

Swimmer Last Name*

Swimmer Preferred Name*

Gender*

Male

Female

Date of Birth*

Age as of June 1, 2025*

Street Address*

City*

State*

Zip*

Swimmer Phone Number

Swimmer E-Mail

School

Has your swimmer ever been on a swim team?*

How many years?*

Medical information, including allergies

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