farmington glen aquatic club / 2015 swim team registration form
FARMINGTON GLEN AQUATIC CLUB / 2015 SWIM TEAM REGISTRATION FORM
Make checks payable to FGAC Swim Team. th Drop off your registration form in the swim team drop box at the front desk of The Glen by May 15 . Questions: Dennis Fohey at [email protected] – or - Veronica Jamieson at [email protected]
Swimmer’s Name
T-Shirt Size (YS,YM,YL,AS,AM,AL,AXL)
Total # of Swimmers:
Fundraising Donation
Birthdate
Health Concerns
x $115 Per Swimmer =
$50
$25
$10
Other ____
Grand Total
Pa rent Signature
Mother’s First & La st Name
Da te
Fa ther’s First & La st Na me
Home Addres s (Street, Ci ty, Zi p)
Home Phone
Mother’s Cel l
Fa ther’s Cel l
Ema i l Addres s #1
Ema i l Addres s #2
Please check this box acknowledging parents must volunteer for three meets, and donate one case of beverages to avoid a $50 fee being assessed.
Make checks payable to FGAC Swim Team. th Drop off your registration form in the swim team drop box at the front desk of The Glen by May 15 . Questions: Dennis Fohey at [email protected] – or - Veronica Jamieson at [email protected]
Swimmer’s Name
T-Shirt Size (YS,YM,YL,AS,AM,AL,AXL)
Total # of Swimmers:
Fundraising Donation
Birthdate
Health Concerns
x $115 Per Swimmer =
$50
$25
$10
Other ____
Grand Total
Pa rent Signature
Mother’s First & La st Name
Da te
Fa ther’s First & La st Na me
Home Addres s (Street, Ci ty, Zi p)
Home Phone
Mother’s Cel l
Fa ther’s Cel l
Ema i l Addres s #1
Ema i l Addres s #2
Please check this box acknowledging parents must volunteer for three meets, and donate one case of beverages to avoid a $50 fee being assessed.
