Dive Team Registration - 2017
Please use this form to register your divers for the 2017 Lee Graham Dive Team.

ALL Families are expected to volunteer to assist with Dive Team activities and event. Please be sure to complete the Volunteer Opportunities section of this form.

Make checks payable to Lee Graham Dive Team

You may submit checks via: 1.) LG Registration Event or 2.) Treasurer's folder in team mailbox or 3.) Mail to:
Peggy Di Scipio, 2874 Yarn Court, Falls Church, VA 22042

Email address *
Family Information
Please provide contact information about your family.
Parents' First Names *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Email Address(es)
You will automatically be added to the Dive Team distribution list unless otherwise noted.
Your answer
Parent1 Cell Phone (Primary Contact Number)
Your answer
Parent2 Cell Phone
Your answer
Emergency Contact
Your answer
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