Dive Team Registration -Current BSAA Members
1st Child - $75. 2 children - $125 3+ Children - $165 -
Pay Online in the Online Store https://www.byrdspringpool.com/online-store
Registration Information
Parents (Last, First) *
Please Add BOTH Parents/Guardians Information, if possible:
Address - Must Include City, State & Zip *
City *
State *
Zip *
Email Address #1 -Parent *
Email Address #2 -Parent *
If none enter n/a
Telephone #1 -Parent *
Telephone #2 -Parent *
If none -enter n/a
Emergency Contact including phone # *
Divers
Diver #1 Name - Last, First Middle *
Diver #1 Preferred Name *
Sex #1 *
Birthdate #1 *
MM
/
DD
/
YYYY
Age #1 *
T-Shirt Size #1 *
Required
Diver #2 Name - Last, First Middle
Diver #2 Preferred Name
Sex #2
Clear selection
Birthdate #2
MM
/
DD
/
YYYY
Age #2
T-Shirt Size #2
Diver #3 Name - Last, First Middle
Diver #3 Preferred Name
Sex #3
Clear selection
Birthdate #3
MM
/
DD
/
YYYY
Age #3
T-Shirt Size #3
Diver #4 Name - Last, First Middle
Diver #4 Preferred Name
Sex #4
Clear selection
Birthdate #4
MM
/
DD
/
YYYY
Age #4
T-Shirt Size #4
Diver #5 Name - Last, First Middle
Diver #5 Preferred Name
Sex #5
Clear selection
Birthdate #5
MM
/
DD
/
YYYY
Age #5
T-Shirt Size #5
Diver #6 Name - Last, First Middle
Diver #6 Preferred Name
Sex #6
Clear selection
Birthdate #6
MM
/
DD
/
YYYY
Age #6
T-Shirt Size #6
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