Lorraine Swim Team Registration
To sign up to swim for the 2021 Lorraine Dolphins. Must still pay registration fee to the Evansville Parks & Recreation at the pool prior to the second swim meet. The price is $45 per swimmer.
Swimmer's First Name *
Swimmer's Last Name *
Swimmer *
Swimmer's Age will be at  July 1, 2021 *
Swimmer's Birthdate *
MM/DD/YYYY
Swimmer's Street Address *
Swimmer's City *
Swimmer's State *
IN
Swimmer's Zip Code *
Swimmer's Contact Phone # *
xxx-xxx-xxxx
Swimmer's Contact e-mail address *
Has swimmer swam competively within the last year? *
ex. GREAT, Newburgh Sea Creatures, High School team
Required
If Yes above, what was the date of the last meet?
This is a recreation league & swimmer cannot swim competively.
MM
/
DD
/
YYYY
Parent/Guardian 1 First Name
Parent/Guardian 1 Last Name
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
First Name of person bringing swimmer
Last name of person bringing swimmer
Emergency Contact Name *
First name Last Name
Emergency Contact Phone Number *
xxx-xxx-xxxx
Emergency Contact Relationship *
Required
Volunteer Assistance *
Every swimmer requested to have an adult help 1 time. See Descriptions on Booster Club page.
Required
If selected Other above:
Please describe assistance.
Name of Volunteer *
Email address of volunteer *
Submit
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