Year Round Swimming Registration
September 1, 2022 - August 31, 2023
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Name of Athlete: First Name *
Middle Name *
Last Name *
Birth Date *
MM
/
DD
/
YYYY
Age *
Grade *
Address *
City *
State
Zip Code *
Parent's First Name *
Parent's Last Name *
Cell Phone *
Home Phone
Other Phone
Email *
Emergency Contact *
Emergency Contact's Phone *
Swimmers Group *
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This form was created inside of Lake Highland Preparatory School.