Hidden Harbor Swim Team Family Registration Form

Guardian's Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Swimmer's Name(Required)

First Last

Swimmer's Birthdate(Required)

Swimmer's T-shirt Size(Required)

Swimmer's Allergies

Swimmer's medications

Health limitations which might limit child's participation

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Relationship to swimmer(Required)

Guardian Signature(Required)

By signing, you agree that all the information provided on this form is correct.