Jr. Highlanders Club Registration
For Pre-K through 1st Grade Swimmers (Mon/Wed or Tues/Thurs).
In the summer, for those who have completed their Pre-K school year or older. 
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Swimmer's First Name *
Middle Name
Last Name *
Birth Date (Minimum age: 4 years old) *
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My child can swim independently and comfortably on their own, without assistance.  *
Age *
Grade *
Gender *
Address *
City *
State
Zip Code *
Parent's First Name *
Parent's Last Name *
Cell Phone *
Home Phone
Other Phone
Email *
T-Shirt Size *
Lake Highland Student *
Emergency Contact *
Emergency Contract's Phone *
Session
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This form was created inside of Lake Highland Preparatory School.