Walhalla Wahoos Registration Form
Participant Name: *
Your answer
Sex *
Age (on June 4th): *
Your answer
Date of Birth: *
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YYYY
T-shirt size *
Street Address: *
Please include city, state, and zip code.
Your answer
Parent/Guardian Name(s): *
Your answer
Phone Number: *
Please provide the best number to reach you at.
Your answer
Email (team updates will be sent to this email): *
Your answer
Medical Conditions/Allergies:
Your answer
Emergency Contact *
Your answer
Relationship to the swimmer *
Your answer
Phone Number *
Your answer
Are you a FOOTHILLS AREA YMCA Member? *
Payment type* (Payments must be made before June 6) *
How will you pay for services?
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