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 (
) with questions, or Ceci Churchwell (
) for billing questions.
Athlete Name: (First, Middle, Last)
Preferred Name: (i.e. The name they go by)
Mailing Address: (e.g. 123 Godawgs Ln., Athens, Ga 30604)
Primary Phone Number:
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?
Do you have any preexisting medical conditions or injuries we should be aware of?
"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.
A copy of your responses will be emailed to the address you provided.
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