2020 Shannon Park Swim Team: Preliminary Membership Application
The undersigned submits application for Swim Team membership in the Shannon Park Swim Club and agrees to pay the appropriate swim team dues: $85 for the first child; $75 for the 2nd child; $65 for each additional child.

** Please note that you must be a full member of the pool in order to join the swim team. **

Your email address will be added to the Swim Team Google message group. Keep an eye out for updates!
Email address *
Secondary Email Address, if applicable
(will also be included in Google message group)
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Additional Parent/Guardian Name Last Name
Your answer
Additional Parent/Guardian Name First Name
Your answer
Primary Mobile Phone Number *
ex. 704-555-1234
Your answer
Secondary Mobile Phone Number
ex. 704-555-1234
Your answer
Other Phone Number
ex. 704-555-1234
Your answer
Street Address *
Your answer
City, State Zip *
Your answer
Child #1 LAST Name *
Your answer
Child #1 FIRST Name *
Your answer
Child #1 Date of Birth *
MM
/
DD
/
YYYY
Child #1 Shirt Size *
Child #2 LAST Name
(skip if not applicable)
Your answer
Child #2 FIRST Name
(skip if not applicable)
Your answer
Child #2 Date of Birth
(skip if not applicable)
MM
/
DD
/
YYYY
Child #2 Shirt Size
Child #3 LAST Name
(skip if not applicable)
Your answer
Child #3 FIRST Name
(skip if not applicable)
Your answer
Child #3 Date of Birth
(skip if not applicable)
MM
/
DD
/
YYYY
Child #3 Shirt Size
Child #4 LAST Name
(skip if not applicable)
Your answer
Child #4 FIRST Name
(skip if not applicable)
Your answer
Child #4 Date of Birth
(skip if not applicable)
MM
/
DD
/
YYYY
Child #4 Shirt Size
The Team Coordinator will create and distribute a Team Roster with contact information. *
Mobile Number 1 for Text Alerts
ex. 704-555-5555
Your answer
Mobile Number 2 for Text Alerts
ex. 704-555-5555
Your answer
Mobile Number 3 for Text Alerts
ex. 704-555-5555
Your answer
Help at the Meets!
All Hands on Pool Deck make the meets go so much more smoothly. (And quickly!) Please let us know position(s) that you would be willing to take on.
A copy of your responses will be emailed to the address you provided.
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