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2020 Dolphin Club Summer Swim Team Registration Form
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* Indicates required question
First Name
*
Your answer
Middle Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Does your child have any medical conditions or allergies we should know about? If so, please list them:
*
Your answer
Address
*
Your answer
Mother's Name
*
Your answer
Mother's Phone
*
Your answer
Mother's Email
*
Your answer
Father's Name
*
Your answer
Father's Phone
*
Your answer
Father's Email
*
Your answer
T-Shirt Size
*
YS
YM
YL
AS
AM
AL
XL
XXL
Weinstein JCC Member ID #
Your answer
Is your child attending Camp Hilbert this summer?
*
Yes
No
If yes, which weeks?
*
Your answer
Is your child attending Specialty Camps this summer?
*
Yes
No
If yes, which weeks?
*
Your answer
In addition to completing this form:
Please register online at
https://weinsteinjcc.org/activities/dolphin-club-summer-swim-team-long-course
.
Please fill out our Parent Agreement (
https://weinsteinjcc.org/images/uploads/Swim_Team_Parent_Agreement_Form_FINAL_fillable.pdf
).
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