• Â鶹´«Ã½ Bucks Aquatics New Member Pre-Team Swim Clinic

    Pre-Registration Form   PLEASE PRINT:   

    Child’s Legal Name (per birth certificate – must include middle initial):

    Last Name ______________________________________________________

    First Name ______________________________________________________ 

    Middle Initial (write “none” if no middle initial) ________________________ 

    Preferred name (nick name) if any: ____________________ 

    Child’s Date of Birth: ___________________ Gender: ___________________ 

    Parents’ Names: __________________________________________________ 

    E-Mail:______________________________________________________________  

    Â鶹´«Ã½ Address:______________________________________________________  

                                                                                                      _________________________________________________________ 

    Primary phone number:____________________________ 

    Child’s School & School District:__________________________________________ 

    Child’s School Grade:___________________________________________________

    If child has previously participated with any FALL/WINTER dive and/or swim team please note which team here. If not, please write “NONE”: 

    ___________________________________________________________________

    ***Email this completed form to Jennifer Steinberg at mailto:jsteinberg@cbsd.org to receive evaluation sign-up information. After evaluations swimmers invited to join the pre-team will receive online registration instructions.***   

    v. 6/2021 Click here for PDF if needed to print.