Registration
FINA Speed and Endurance Qualifiers Saturday will be the Speed Competition amd Sunday will be the Endurance Competition Each Day will Start with a 9AM Check in. Walk throughs will Begin at 9. Full Schedule will be posted 1 week prior to event. Cost is 1 event is $59.00 Both events is 79.00
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Age of Competitor as of July 1st 2019?*
Gender of Competitor? *
What division does competitor wish to compete?*
Does the Competitor wish to Compete in Speed, Endurance or Both?*
 
Additional Information:
 
Release of Liability
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Medical Emergency
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Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*