2019 Registration for Tartan Aqua Scots Swim and Dive Team
Child First and Last Name *
Gender *
Date of Birth (MM/DD/YYYY) *
Age of June 1, 2019 *
Participating On *
Child is... *
T-Shirt Size *
Member Last Name *
Member Number at Tartan Field
Parent's Email Address *
Address (Street, City, Zip Code) *
Parent #1 First and Last Name *
Cell Phone # *
Parent #2 First and Last Name *
Parent #2 Cell Phone #
Additional Email
Additional Name: Nanny or Babysitter
Medical Release *
I acknowledge that a medical release form must be completed for ALL swimmers (new and returning). We must have a completed form before child will be allowed to participate. A form will be emailed to you to and also available during practices.
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