ABSC Masters Registration
The Information provided will be kept by the Athens Bulldog Swim Club for its records and databases, and will allow us to set up billing
Email Mike Radford (
Mike@athensbulldogs.com
) with questions, or Ceci Churchwell (
Ceci@athensbulldogs.com
) for billing questions.
* Required
Email address
*
Your email
Athlete Name: (First, Middle, Last)
*
Your answer
Preferred Name: (i.e. The name they go by)
Your answer
Current Age:
*
Your answer
Sex (M/F):
*
Female
Male
Mailing Address: (e.g. 123 Godawgs Ln., Athens, Ga 30604)
*
Your answer
Primary Phone Number:
*
Your answer
How many days per week will you attend practice?
*
1 day per week ($100)
2 days per week ($200)
3 days per week ($250)
4-5 days per week ($300)
Have you ever participated as a member of another Masters team? If so which team?
*
Your answer
Do you have any preexisting medical conditions or injuries we should be aware of?
Your answer
T-shirt Size
*
Choose
AS
AM
AL
AXL
2XL
"Sign" your acknowledgment below by printing your name. (First, Last). I acknowledge that the above information is true and accurate. I agree to allow the Athens Bulldog Swim Club to hold the above information for operational purposes.
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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