Spring Age Group Swim Clinic 2021
Please complete this form to register your child for the 2021 Spring Swim Clinic


The Governor Mifflin Swim Clinic is a competitive swim clinic that will involve conditioning and stroke technique to tune up our athletes for the summer swim season. This clinic will be held for ages 6 years and older. Clinic will run Monday 5/24-Friday 5/28; and Tuesday 6/1, Wednesday 6/2, and Thursday 6/3 for a total of eight practices.



Fee:  GM Athletes $50.00:  We accept cash checks and money order. Please make checks and MO payable to GMSD, or Governor Mifflin School District.  *Payment will be required the 1st night of clinic, and no athlete will be permitted to participate until payment is made. *



Age Group:              Practice Time:                             Drop of time:  
8& Under:                   5:15-6:15 pm                                   5:05-5:10 pm
9-11                             6:30- 7:30 pm                                 6:20-6:25 pm
12& up                        7:45-9:15 pm                                  7:35-7:40 pm


No parent or guardian will be permitted in the facility during practice times.
All athletes will be dropped off and picked up in the GMIS bus lane. Athletes will enter and exit the facility through the diving wells double doors. All athletes will be required to arrive and leave in their suits, and locker room usage will be limited to typical bathroom usage.  



Covid-19 protocols will be emailed to all participants prior to our first clinic night. Please review these protocols with your athlete.


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Email *
Athlete's First and Last Name? *
Parent/Guardian's first and last name? *
Emergency contact number? *
Secondary contact person first and last name?
Secondary Emergency contact number?
Athlete's Date of Birth? *
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Select practice time that fits your Athlete's age? *
I acknowledge by checking yes below that our athlete will be screened for Covid-19 prior to each practice, and if our athlete shows any signs or symptoms of Covid-19 I will keep them home. *
Required
I acknowledge by checking yes below that payment must be made the first night of clinic. (Please send payment with your athlete and place payment in an envelope with your athlete's first and last name.) *
Required
I acknowledge that payment is due the first night. I will provide my child a check, money order, or cash in an envelope with our athletes first and last name. I acknowledge payment must be made the first night.   *
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