Catalina Swim Team Sign-up
This is the form to sign up your swimmer for the Catalina Swim Team. Reminder, your child must be a Catalina Swim Club member to participate on the swim team. We also prefer that swimmers be able to swim the length of the pool before they join the swim team. It is important that you fill out this form accurately. You should receive an email immediately after completing this form, showing your responses, and within 2-3 days confirming that Jason Kubick has received your information, along with how to pay. In order for your swimmer to swim on the first day of practice (Thursday, June 1st) this form MUST be filled out, and payment must be completed by your swimmer's first day. If you are wanting to do a trial period (thru Friday, June 9th), please fill out this form, and we will not deposit your check until after you decide to stay on for the season. Thank you, and GO GATORS!

Cost:
$50 for the first swimmer
$35 for each swimmer after the first one.
$5 Doughnut fee for EACH swimmer

Email address
Swimmer #1's First Name
Your answer
Swimmer #1's Last Name
Your answer
Swimmer #1's Date of Birth
MM
/
DD
/
YYYY
Swimmer #2's First Name
Your answer
Swimmer #2's Last Name
Your answer
Swimmer #2's Date of Birth
MM
/
DD
/
YYYY
Swimmer #3's First Name
Your answer
Swimmer #3's Last Name
Your answer
Swimmer #3's Date of Birth
MM
/
DD
/
YYYY
Swimmer #4's First Name
Your answer
Swimmer #4's Last Name
Your answer
Swimmer #4's Date of Birth
MM
/
DD
/
YYYY
Parent(s)/Guardian(s)
Your answer
Parent/Guardian Email Contact #1
Your answer
Parent/Guardian Email Contact #2
Your answer
Extra Email Contact (if necessary)
Your answer
Parent/Guardian Phone Contact #1
Your answer
Parent/Guardian Phone Contact #2
Your answer
Extra Phone Contact (if necessary)
Your answer
Home Address
Your answer
Allergies (please be specific if your child does have allergies. If you have multiple kids with allergies, please separate them in the other category.)
Required
Medications (Anything related to allergies or something that would help swimmers, i.e. inhaler. If you have multiple kids with medications, please separate them in the other category. )
Required
Emergency Contact/relation (Ex: John Smith/family friend)
Your answer
Emergency Contact phone #
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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