2019 ABSC Fall Splash Session 2 Clinic
Dates: Oct. 22nd - November 22nd, 2019
Days/Times: 4:00 - 5:00 PM on Tuesdays/Thursdays/Fridays
Location: Athens YWCO, 562 Research Dr. Athens, ga 30605
Contact Mike Radford: 404-513-2826 or Mike@athensbulldogs.com

NOTE** YOU MUST RETURN TO THIS FORM AFTER MAKING THE PAYMENT ON PAYPAL AND SUBMIT YOUR REGISTRATION!

** PLEASE FILL OUT ONE PER SWIMMER
Email address *
Name of Parent *
Your answer
Name of swimmer (First Last) *
Your answer
Age of swimmer as of Oct. 2019 *
Phone Number *
Your answer
How many days per week will your swimmer attend? *
Briefly describe your swimmer's prior swimming experience: *
Your answer
How did you hear about our Fall Splash Session 2 Clinic? *
Your answer
Any other notes or comments regarding your child?
Your answer
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