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Â鶹´«Ã½ Bucks Aquatics

Â鶹´«Ã½ Bucks Swim Team – SAL (CBST-SAL)
New Swim Team Member Pre-Registration Form
(CBST-SAL)

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: ____________________

Date of Birth ______________________________________________

Gender __________________________________________________

Parents’ Names ___________________________________________

Email Address_____________________________________________

Â鶹´«Ã½ Address___________________________________________

                                                                                                                       _______________________________________________

Primary Phone Number _____________________________________

Child’s School and School District:

 ________________________________________________________________

Child’s Grade in School for upcoming fall: ________________________________

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 team will receive online registration instructions.***     

v. 12/2022 Click here for PDF if needed to print.