Swimmer Information Sheet
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Swimmer's Information

 
First Name: 
 M: 
 Last: 
 
Age: 
 Swimmer's Birthday: 
M or F:
 
Grade and School: 
 
First Name: 
 M: 
 Last: 
 
Age: 
 Swimmer's Birthday: 
M or F:
 
Grade and School: 
 
First Name: 
 M: 
 Last: 
 
Age: 
 Swimmer's Birthday: 
M or F:
 
Grade and School: 
 
First Name: 
 M: 
 Last: 
 
Age: 
 Swimmer's Birthday: 
M or F:
 
Grade and School: 

Parent/Guardian Information

 
Name 
 Name 
 
Home Phone 
 Home Phone 
 
Cell Phone 
 Cell Phone 
 
Work Phone 
 Work Phone 
 
E-mail Address 
 E-mail Address 
 
Swimmer's Mailing Address: 
 
City: 
 State: 
 Zip: 

Allergies and/or Special Medical Problems

 
Swimmer #1 
 
Swimmer #2 
 
Swimmer #3 
 
Swimmer #4 

Emergency contacts if we are unable to reach parents:

 
Name 1 
 Phone Number 
 
Name 2 
 Phone Number 
 
Additional Comments