Brookside Swim Team registration
E-mail address *
Your answer
Parents Last Name *
Your answer
Parents First Names *
Your answer
Complete Address *
Your answer
Contact Phone Numbers *
Your answer
Emergency Contact Person and Phone Number *
Your answer
Child's Doctor, Name and Phone Number *
Your answer
Is Child #1 a graduating senior?
Child #1 Birthdate
Your answer
Child #1 First Name
Your answer
Child #1 Age as of 6/15/17
Your answer
Year child #1 joined the swim team.
Your answer
Which teams will be child #1 be participating?
Child #1 T-shirt size
Will Child #1 be participating in the big buddy/little buddy program?
Child #2 First Name
Your answer
Child #2 Birthdate
Your answer
Child #2 Age as of 6/15/17
Your answer
Is Child #2 a graduating senior?
Year child #2 joined the swim team?
Your answer
Which teams will child #2 be participating in?
Child #2 T-shirt size
Will Child #2 be participating in the big buddy/little buddy program?
Child #3 First Name
Your answer
Child #3 Birthdate
Your answer
Child #3 Age as of 6/15/17
Your answer
Is Child #3 a graduating senior?
Year child #3 joined the swim team?
Your answer
Which teams will child #3 be participating in?
Child #3 T-shirt size
Will Child #3 be participating in the big buddy/little buddy program?
Child #4 First Name
Your answer
Child #4 Birthdate
Your answer
Child #4 Age as of 6/15/17
Your answer
Is Child #4 a graduating senior?
Year child #4 joined the swim team?
Your answer
Which teams will child #4 be participating in?
Child #4 T-shirt size
Will Child #4 be participating in the big buddy/little buddy program?
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