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Glen Gators Diving Registration Form
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* Indicates required question
Name of Athlete
*
Your answer
What diving experience has your athlete had?
Beginner (Never dove before, or limited skills)
Advanced (has had formal training)
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Name of parents/guardians if athlete is a minor
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Parent/ Guardians Phone Number
*
Your answer
Email
*
Your answer
Address
*
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Phone number
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Age
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Shirt Size
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AAU Membership ID
*
Your answer
Emergency Contact Name and Phone Number
*
Your answer
Athlete's Allergies
*
Your answer
Athlete's Medication list
*
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Athlete's Medical Issues
*
Your answer
By signing below, you are confirming the information above is true. You are also acknowledging that there will be a waiver to sign on the first day of practice. *Don't forget to sign up for an AAU Diving membership. (See website for more info)
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