2019 Registration for Tartan Aqua Scots Swim and Dive Team
Child First and Last Name *
Your answer
Gender *
Date of Birth (MM/DD/YYYY) *
MM
/
DD
/
YYYY
Age of June 1, 2019 *
Your answer
Participating On *
Child is... *
Required
T-Shirt Size *
Member Last Name *
Your answer
Member Number at Tartan Field
Your answer
Parent's Email Address *
Your answer
Address (Street, City, Zip Code) *
Your answer
Parent #1 First and Last Name *
Your answer
Cell Phone # *
Your answer
Parent #2 First and Last Name *
Your answer
Parent #2 Cell Phone #
Your answer
Additional Email
Your answer
Additional Name: Nanny or Babysitter
Your answer
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.
Required
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