2019 Registration for Tartan Aqua Scots Swim and Dive Team
Child First and Last Name *
Gender *
Date of Birth (MM/DD/YYYY) *
MM
/
DD
/
YYYY
Age of June 1, 2019 *
Participating On *
Child is... *
Required
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.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy