Register a New Swimmer

Contact Information

Student First Name

Student Last Name

Address

Address 2

City

State

Zip

Parent Phone

Parent Email

Parent / Guardian Name

Student Date of Birth

Swimmer Gender

Male

Female

* A tryout is required for all new participants

Please list your availability for a week day tryout

How did you hear about us?
(select all that apply)

Online search

Social media

Referral

Other (Please specify in the comment section below)

Comments

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Phone

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