Roslyn Swim Club Calendar
Tuesday, April 19, 2016
Registration Paperwork
Roslyn Swim Team
Registration Information
Registration fees: $95.00 per swimmer over 7 years and $120.00 per swimmer under 6 years(Age as of May 30th) (Maximum of $360.00 per family, please pay for youngest three swimmers.)
Concession fee: $15.00 per family
Parents or Guardians:
_____________________ _________________ _________________
(Last Name) (Mother’s Name) (Father’s Name)
Home Address______________________________________________________________________________
Email Address: only if there is a change for returning swimmers: ____________________________________
Home Phone: _________________
Daytime Numbers: _________________ _________________
Emergency Contact: _________________ _________________
(Name) (Phone Number)
Preference for volunteer activities (please circle at least two)
Timing Place Judge Scoring Runner Stroke & Turn
Concessions 50/50 Sales Parking Cooking
Please indicate if there are dates when you will NOT be able to volunteer:__________________________________________
Swimmers:
______________________ _____________ ____________ ________________
(Name) (Age on May 30th) (Birthdate) (tee shirt size)
______________________ _____________ ____________ ________________
(Name) (Age on May 30th) (Birthdate) (tee shirt size)
______________________ _____________ ____________ ________________
(Name) (Age on May 30th) (Birthdate) (tee shirt size)
______________________ _____________ ____________ ________________
(Name) (Age on May 30th) (Birthdate) (tee shirt size)
______________________ _____________ ____________ _______________
(Name) (Age on May 30th) (Birthdate) (tee shirt size)
If parents are interested in the “Roslyn 2016” tee shirt, please indicate the amount and size.________________________________________________
Any extra shirts cost $10.00
Please include any medical conditions of which the staff should be aware:___________________________________________________________________
_________________________________________________________________________