Swimmer Contact Information

If you plan on trying out or returning to swim this season (2020-2021), please fill out the following information.
If you are currently swimming club, it is important to fill in the coach contact information. Coach Wally is working on the best way to have a safe season this year and needs the following information.

FIRST SWIMMER INFO

*First Swimmer Name

First Swimmer Cell Phone

First Swimmer Email

*First Swimmer Grade

FIRST SWIMMER CLUB INFO

*Do you currently swim club?

Club Coach Name

Club Coach Contact Info

SECOND SWIMMER INFO (if siblings are swimming)

Second Swimmer Name

Second Swimmer Cell Phone

Second Swimmer Email

Second Swimmer Grade

SECOND SWIMMER CLUB INFO

Do you currently swim club?

Club Coach Name

Club Coach Contact Info

PARENT INFO

*Parent One Name

*Parent One Cell Phone

*Parent One Email

Parent Two Name

Parent Two Cell Phone

Parent Two Email

BADGE INFO
Please enter names of those that need JCC badge. Required to get through entrance at JCC. If you kept yours, please make note of that, as we will have to have it reactivated.

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