Jose Cerda Swim Clinic Registration Form
Send any questions regarding this form to jcswimclinic@cinci.rr.com or to Sharon Norris at (513) 519-6003.
Email address *
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Gender
Will parent of swimmer attend info. sessions? *
College swimming, Nutrition, Q&A with Champions
Coach Name *
Your answer
Swimmer's Team *
Your answer
USA Swimming Membership *
Not required to participate, for information purposes only
Home Address *
Your answer
Phone *
Your answer
Emergency Phone *
Your answer
Submit
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