Wufoo

Registration Information (must be completed by May 12, 2011)

Registration is not finished until the following items are complete:
* Cash or check (made payable to Crooked Creek Crocs) given to Shalon Roberson at 2408 Hidden Meadow Drive (mail or drop off in mailbox).
* A separate $100 check for Volunteer Fee provided in a self-addressed stamped envelope. This check will be returned at end of season after 3 volunteer jobs have been performed.
* If applicable, a $20 check for Swim School.
* Print, sign and submit Waiver to Shalon Roberson.
* Volunteer job registration completed (separate form).
Registration Fees:

$85 for first child registered
$80 for second child registered
$75 for three or more children registered
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$25 late fee if registered after May 12, 2011. No online registration offered after this date.
Parent/Guardian Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent's Phone Number * ### - ### - ####
Alternate Parent's Phone Number ### - ### - ####
Parent's Email *
Alternate Parent's Email
Swimmer 1

Please complete the information below for the first swimmer you are registering.
Name * First Last
Gender *
T-Shirt Size *

Each swimmer will get a t-shirt included with their registration fee.
Date of Birth * MM / DD / YYYY
NEW SWIMMERS 10 and under will be evaluated by coaches and MAY be required to attend an additional swim school. The swim school will be an additional $20. For additional information contact Coach Allison Beadle.
Select an Age Group *

Select the age bracket based on the the swimmer's age as of June 1, 2011.
1st time swimmer age 10 and under
Will you need to order a swimsuit?
Yes No

If you need to order a swimsuit, you will need to come to the pool the first week of practice to determine the size that will need to be ordered. Swimsuits NEED to be ordered the first week of practice to have them in time for the 1st meet. Swimsuits will not be ordered after May 5, 2011.
Email

Please enter swimmer's e-mail, if applicable.
Phone Number ### - ### - ####
Please enter swimmer's phone number, if applicable.
Swimmer 2

Please complete the information below for the second swimmer you are registering.
Name First Last
Gender
T-Shirt Size

Each swimmer will get a t-shirt included with their registration fee.
Date of Birth MM / DD / YYYY
NEW SWIMMERS 10 and under will be evaluated by coaches and MAY be required to attend an additional swim school. The swim school will be an additional $20. For additional information contact Coach Allison Beadle.
Select an Age Group

Select the age bracket based on the the swimmer's age as of June 1, 2011.
1st time swimmer age 10 and under
Will you need to order a swimsuit?
Yes No

If you need to order a swimsuit, you will need to come to the pool the first week of practice to determine the size that will need to be ordered. Swimsuits NEED to be ordered the first week of practice to have them in time for the 1st meet. Swimsuits will not be ordered after May 5, 2011.
Email

Please enter swimmer's e-mail, if applicable.
Phone Number ### - ### - ####
Please enter swimmer's phone number, if applicable.
Swimmer 3

Please complete the information below for the third swimmer you are registering.
Name First Last
Gender
T-Shirt Size

Each swimmer will get a t-shirt included with their registration fee.
Date of Birth MM / DD / YYYY
NEW SWIMMERS 10 and under will be evaluated by coaches and MAY be required to attend an additional swim school. The swim school will be an additional $20. For additional information contact Coach Allison Beadle.
Select an Age Group

Select the age bracket based on the the swimmer's age as of June 1, 2011.
1st time swimmer age 10 and under
Will you need to order a swimsuit?
Yes No

If you need to order a swimsuit, you will need to come to the pool the first week of practice to determine the size that will need to be ordered. Swimsuits NEED to be ordered the first week of practice to have them in time for the 1st meet. Swimsuits will not be ordered after May 5, 2011.
Email

Please enter swimmer's e-mail, if applicable.
Phone Number ### - ### - ####
Please enter swimmer's phone number, if applicable.
Swimmer 4

Please complete the information below for the fourth swimmer you are registering.
Name First Last
Gender
T-Shirt Size

Each swimmer will get a t-shirt included with their registration fee.
Select an Age Group

Select the age bracket based on the the swimmer's age as of June 1, 2011.
Date of Birth MM / DD / YYYY
New swimmers 10 and under will be evaluated by coaches and MAY be required to attend an additional swim school. The swim school will be an additional $20. For additional information contact Coach Allison Beadle.
1st time swimmer age 10 and under
Will you need to order a swimsuit?
Yes No

If you need to order a swimsuit, you will need to come to the pool the first week of practice to determine the size that will need to be ordered. Swimsuits NEED to be ordered the first week of practice to have them in time for the 1st meet. Swimsuits will not be ordered after May 5, 2011.
Email

Please enter swimmer's e-mail, if applicable.
Phone Number ### - ### - ####
Please enter swimmer's phone number, if applicable.
Do Not Fill This Out

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Wufoo

Registration Information (must be completed by May 12, 2011)

Registration Fees:

Swimmer 1

Swimmer 2

Swimmer 3

Swimmer 4