River Shark's Official Swim Team Registration

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This form can be completed by potential Memphis River Sharks swimmer. Please complete the questions to join the team.

Attention Swimmers and/or Parents/Guardians:

The purpose of this form is to get information to determine if the swimmer is

a match for our team. A scheduled swim

trial will be conducted after the form is entirely completed. If there are questions

or concerns contact Coach Cynthia at cynthiaadickerson@gmail.com.

Swimmer's Full Name *

Swimmer's age *

Primary Parent and/or Guardian's Name *

Swimmer’s Date of Birth *

YYYY

Primary Parent/Guardian's Phone number *

Primary Parent/Guardian's Email *

Secondary Parent and/or Guardian's Name and contact number (optional)

Swimmer’s Phone number (optional)

Swimmer's email address (optional)

Will the swimmer compete in swim meets or competitions? *

Yes

Maybe

How often does the swimmer plan to attend practices this summer and winter season? *

1-2 times a week

2-3 times a week

3-4 times a week

It will vary from week to week but will attend regularly

Sporadically due to other obligations

Undecided

Unable to attend

Please list any additional siblings (including their age) currently on the swim team. (optional)

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