Swimming Club Tournament Entry Form
Register to participate in the upcoming swimming club tournament. Please complete all sections accurately.
Participant Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
*
Male
Female
Other
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Club or Team Name
*
Select the event(s) you wish to enter
*
50m Freestyle
100m Freestyle
200m Freestyle
50m Backstroke
100m Backstroke
50m Breaststroke
100m Breaststroke
50m Butterfly
100m Butterfly
200m Individual Medley
Other
Age Category
*
Please Select
Under 10
11-12
13-14
15-16
17-18
19 and above
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any medical conditions, allergies, or special needs (if none, type 'None')
*
Participant or Parent/Guardian Signature
*
Submit Entry
Submit Entry
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