2012 Skyline Swim Team Registration Form

You must be a current, full season member of Skyline Swim Club to participate on the Swim Team

Swimmer Information (submit one form per swimmer)
First Name:  Last Name: Gender:  Birth Date:
Street:   Neighborhood:
City:  State:   Zip:   Phone:
Shirt Size: for team T-shirt
 
Mother's First Name: Last: Cell Phone: Email:
Father's First Name: Last: Cell Phone: Email:
 
Physician Name: Phone:   Health Concerns?
  

Fees: $50 for the 1st swimmer, $45 for the 2nd, $40 for additional swimmers. Make checks payable to Skyline Swim Team and mail to:

Jim Hoban
1537 Old Coach Road
Newark, DE 19711