Swim & Water Polo PLAYER input, 2014
Help Coach Mark Rauterkus, 412-298-3432, get better and more detailed data about the students in the program, 2014 Swim & Water Polo Camp as part of Summer Dreamers.
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Student's First Name *
Type in the students first name / nick name.
Last Name *
Type in the student's last name
T-shirt size
What size t-shirt does the student wear?
Clear selection
Sneaker Shoe Size
What US Shoe Size do you expect the student to wear in July? Help with ordering inventory. This is not a guarantee. Sponsor and advertising budget is still pending.
Additional Email Address
Our outreach can include additional emails. Home, kid's, spouse, guardian's emails all welcome and suitable.
Additional phone numbers
Who else can we call? What other phone numbers should we have? Student phone, guardians, work number?
Health Issues
Does the student have any health and wellness issues that the lifeguards and coaches should know about? Example: Does the student need an inhaler present at all times?
In case of questions, who completed this form?
Okay to put in other remarks, name and phone number so coaches can contact you directly. (Optional)
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