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Skippack Swim Team ~ 2007 Registration Form

 

(please print, complete, and mail this form ~ see instructions below)

 

Family   Name:  

   

Address:   

 

 

__________________________

 

__________________________

 

__________________________

 

REGISTRATION

FEES:

 

1 CHILD            $80

2 CHILD            $60

3 CHILD            $50

Family Max.     $190

eMail address:

 

Phone Number:

 

Parents Names:

 

 

 

__________________________

 

 

__________________________

 

 

__________________________

 
 

For Skippack pool non-members add $50 per child.

(This is a fee imposed on us from SRA). 

 

For Registration & SRA fee, make 1 check  ~ PAY to:

                   

SKIPPACK SWIM TEAM

 

You will not be rostered to swim until  all fees are paid.

NAMES OF CHILDREN (DOB/AGE /SEX)
 
1. ________________________________________
 
2. ________________________________________
 
3. ________________________________________
 
4. ________________________________________
1.
***E-mail will be our main form of communication.
 

 

PLEASE SEND REGISTRATION AND FEES TO:

 

     CHRIS HODGINS

     205 DEVON LANE

     SCHWENKSVILLE,  PA 19473

 

Registration forms are DUE by May 19th, 2007

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