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Shatford Sharks Registration 22-23
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* Indicates required question
Emergency Contact
Please include the names of yourself and another individual to be contacted in case of an emergency.
Primary contact name
*
Your answer
Primary contact phone number
*
Your answer
Primary contact email address
*
Your answer
Primary contact relationship to swimmer
*
Your answer
Secondary contact name
*
Your answer
Secondary contact phone number
*
Your answer
Secondary contact email address (not required)
Your answer
Secondary contact relationship to swimmer
*
Your answer
FIRST SWIMMER
Name
*
Your answer
Age
*
Your answer
Is there anything we should know about this swimmer? (Allergies, medical conditions, or apprehension about swimming?)
*
Your answer
SECOND SWIMMER
Please put NA if you only have one swimmer.
Name
*
Your answer
Age
*
Your answer
Is there anything we should know about this swimmer? (Allergies, medical conditions, or apprehension about swimming?)
*
Your answer
THIRD SWIMMER
Please put NA if you only have one swimmer.
Is there anything we should know about this swimmer? (Allergies, medical conditions, or apprehension about swimming?)
*
Your answer
Name
*
Your answer
Age
*
Your answer
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