2 Week Trial Form
Please fill out all information on this form to start a two week trial with Irish Aquatics. Fill out the form multiple times for multiple swimmers. At the completion of the trial, you will need to register your swimmer with the team through www.irishswimming.org if they will continue.
Email address *
Swimmer's Last Name *
Your answer
Swimmer's First Name *
Your answer
Swimmer's Date of Birth *
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DD
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YYYY
Swimmer's Gender *
Trial Start Date (first day of practice attended) *
MM
/
DD
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YYYY
Group *
Location where the child will be swimming *
Has your swimmer been registered with another USA Swimming program in the past? *
If yes, which team?
Your answer
Does your swimmer have any medical conditions or allergies we need to be aware of? *
Your answer
Parent Last Name *
Your answer
Parent First Name *
Your answer
Home Address *
Your answer
Contact number *
Your answer
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