Registration
Guts For Glory Recreational Swim Meet Fall 2019 - Saturday, September 7 from 10a-12p - Cannonball Contest (opener)
Event:
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Family Information
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Last Name:
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Emergency Contact Info
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Students entered below will be added to your family's account
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Teacher Request:
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Student's First Name:
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Student Gender:
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Birth Date:
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Disabilities (Leave blank if NONE):
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Medications (Leave blank if NONE):
Teacher Request:
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Add New Student #5:
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Student's First Name:
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Last Name:
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Student Gender:
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Male
Birth Date:
*
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Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Medications (Leave blank if NONE):
Teacher Request:
Schedule Restrictions:
Questions/Options:
I agree to sign the Waiver and Release of Liability upon checking in at the event.
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Active duty military?
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Additional Information:
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ME
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MT
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NH
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OR
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Zip:
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