Ebbtides Online Registration Form 2017/2018
Please enter as much registration information as you can.

Information entered below should reduce the time required to pay your fees.

Please bring your payment for registration fees and signing of Waiver/Release Agreement to the poolside before the start of Ebbtides practice.

Last Name *
Your answer
First Name *
Your answer
Street Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Email address
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Sex *
Date of Birth *
MM/DD/YYYY
Your answer
Are you interested in swimming in swim meets? *
How did you hear about the club?
Your answer
Are you new to the club? *
If you're not new to the club how many years or what was your previous club and most recent year
Your answer
What days do you plan on swimming?
This helps us plan the number of lanes to book at the pool.
Waiver release and code of conduct information. *
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