Middle School Swimming 2022
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Simeone, Autumn Swimmer's Name:  (Last name, First name) *
Christopher and terisha simeoneParent's Name: *
Grade: *
Gender: *
11Age: *
School: *
Do you swim for a year round team? If Yes, please list team below. *
Minajade1988@gmail.com Email Address: *
9315385215 Home Phone Number *
9315385215 Cell Phone Number *
Terisha simeoneEmergency Contact Person: *
9315380123 Emergency Contact Number: *
Medical Concerns: *
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