Orca Synchronized Swimming Online Registration
Please ensure you fill out this form if you are interested in the 20/21 swim year. You will need to fill out documents and forms by October 20 and submit them in person to an address. To obtain these documents - please contact orcasyncrhoclub@gmail.com.
Email address *
Swimmer's First Name *
Swimmer's Last Name *
Swimmer's Birthday *
MM
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DD
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Indicate swimming level or Synchro / artistic swimming experience
Parent/Guardian #1 First Name
Parent/Guardian #1 Last Name
Parent/Guardian #1 Cell Phone (XXX)xxx-xxxx in case of emergency *
Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Cell phone
Swimmer's Mailing Address (Number and Street) *
City *
Postal Code *
Alternate Emergency Contact Person (Full Name and cell number), in case we cannot reach Guardian #1 or #2: *
Alternate Emergency Contact Relationship to Swimmer *
Indicate any medical issues, concerns, or allergies our coaches should be made aware of.
This year we will be invoicing for fees on a quarterly basis (every two months) in case programming has to stop abruptly mid-season. Please indicate the best method for payment. (we prefer EFT!) *
Program Preference (depends on pool availability)
Clear selection
Please read the following Refund Policy and check that you have read and understand: Withdrawals up to the third practice receive a 50% refund, but there is a minimum $50 administration fee. Once the third practice starts, there will be no refund. Please note that you must withdraw, not just stop attending. Withdrawing allows coaches to plan for their team. To withdraw, notify the registrar at orcasynchroclub@gmail.com *
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