BRENHAM DOLPHINS SWIM TEAM - 2008

 

 

 

SWIMMER'S REGISTRATION FORM

 

 

 

 

 

 

 

 

*****Please write clearly so we are not guessing about information on your registration form*****

 

 

 

 

 

 

 

 

 

Swimmer Information

 

 

 

 

 

 

 

Last Name

First Name

Birth Date

Age as of 5/31/08

Gender          M  or  F

T-Shirt Size (See Below)

Fees

First Swimmer:

 

 

 

 

 

 

$90.00

Second Swimmer:

 

 

 

 

 

 

$85.00

Third Swimmer:

 

 

 

 

 

 

$80.00

Fourth Swimmer:

 

 

 

 

 

 

$75.00

Fifth Swimmer:

 

 

 

 

 

 

$70.00

 

 

 

 

 

 

 

 

T-shirt:   ADULT   S     M     L     XL     XXL     YOUTH   S      M      L

 

Total Fee:

 

 

 

 

 

 

 

 

 

 

Parent Information

 

 

 

 

 

 

 

Last Name

First Name

Phone

Email

 

 

 

First Parent:

 

 

 

 

 

 

 

Second Parent:

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

State:

 

 

 

 

 

 

 

Zip Code:

 

 

 

 

 

 

 

Parent T-shirt ($10.00) : Qty______ Tank    T-shirt      XXL          XL          L           M              S       

Total Fee:

 

 

 

 

 

 

 

 

 

Refund Policy:  If swimmer drops within the first week of practices in April they will receive a full refund. From the second week of April until the

Mock Meet is held you will be refunded $25.00 per swimmer. After the Mock Meet there will be no refunds. Pool fees and Coaches salaries are

based on registration so we ask you to bear this in mind when registering.

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Paid________________           Form of payment:    CK #              CA          Rec’d By:_____________