DHS Swim and Dive Student Information Form
Please fill out the information below
First and Last Name *
Your answer
Student Number *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Grade *
Student Email *
Your answer
Interested In: *
Parent/Guardian 1 - First and Last Name *
Your answer
Parent/Guardian 1 - Cell Phone *
Your answer
Parent/Guardian 1 - Email Address *
Your answer
Parent/Guardian 2 - First and Last Name *
Your answer
Parent/Guardian 2 - Email Address *
Your answer
Emergency Contact - Name *
Your answer
Emergency Contact - Phone *
Your answer
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