FAMILY REGISTRATION SHEET

SPRING / SUMMER 2008

 

    Please check here if info is different from last year

 

Parents’ Name: _______________________________________

{Please list BOTH parents}

 

Address: _________________________   City: ____________ Zip: __________

 

Home Phone #: ____________________

 

Dad’s work #: _____________________ Mother’s work #: _________________

 

Dad’s cell #: ______________________ Mother’s cell #: __________________

 

Emergency Contacts:       Name: _______________________ Phone #: ___________

(May NOT be a parent) 

 Name: _______________________ Phone #: ___________

 

 Email address: ___________________________________ Please be legible.

Case sensitive?      Yes    No

 

Are you comfortable navigating the web?    Yes     No

{If not, we'll take extra measures to keep you informed}

 

           Swimmer’s Name                            Middle      Date of Birth          Practice

                                                                   Initial                                        Group

 

1)       ____________________              _____          __________           _____

 

2)       ____________________              _____          __________           _____

 

3)       ____________________               _____         __________           _____

 

4)       ____________________              _____         __________            _____

  

 

 

ALL CHECKS MADE PAYABLE TO FAST.