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ONLINE REGISTRATION

All swimmers whether they are trying their first workout for free, dropping in, or buying a membership must register and sign a waiver before their first workout.

First Name

Last Name

Email

Cell Phone

Birthdate

Address

Address 2

Emergency Contact Name

Emergency Contact #2 Name

Emergency Contact Phone

Emergency Contact #2 Phone

How Did You Hear About Us?

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Your Signature

I agree to the terms & conditions

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