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High School Training Group Registration
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Swimmer's First Name
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Your answer
Middle Name
Your answer
Last Name
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Age
*
Your answer
Grade
*
9
10
11
12
Gender
*
Male
Female
Address
*
Your answer
City
*
Your answer
State
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Zip Code
*
Your answer
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Cell Phone
*
Your answer
Home Phone
Your answer
Other Phone
Your answer
Email
*
Your answer
Lake Highland Student
*
Yes
No
Emergency Contact
*
Your answer
Emergency Contract's Phone
*
Your answer
Session
Summer (June 6th - July 21st)
Fall I - CLOSED
Fall II - CLOSED
Winter
Spring
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