Elmhurst Aquatics New Member Interest Survey
This form will allow prospective Elmhurst Aquatics Athletes and Families to be notified of our upcoming registration information. If you have any questions, please email Megan Jensen at
meganjrt20@gmail.com
* Required
Parent Name
*
Your answer
Parent Email
*
Your answer
Athlete First and Last Name (one response per athlete)
*
Your answer
Athlete Birthdate (used for group placement)
*
Your answer
Which aquatic sports are you interested in? You can pick more than one.
*
Swimming
Water Polo
Diving
Required
Please tell us about your swimming and/or water polo experiences
*
Your answer
For swimming and athletes 10&under, please select the following strokes your athlete can swim 25yds (1 length) without stopping.
Butterfly
Breaststroke
Backstroke
Freestyle
For athletes 11&above new to swimming, please select the following strokes your athlete can swim 50yds (2 lengths) without stopping.
Butterfly
Breaststroke
Backstroke
Freestyle
Clear selection
Other Experience or Notes for Coaches:
Your answer
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