CORE Diving Registration 2018-19
Last Name of Diver *
Your answer
First Name of Diver *
Your answer
Birthdate of Diver *
MM
/
DD
/
YYYY
Age of Diver as of October 31, 2018 *
Your answer
Email address? *
Your answer
Emergency Name, Relationship, and contact *
Your answer
Do you have previous competitive diving experience? *
In addition to diving, are you interested in swimming? *
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