2008 South Jefferson Spartan Swim Team
Boys Competitive Swimming Clinic Registration Application
Fill out Form (type in info) and click on the print button below
Swimmer's Name: 
Parent/Guardian: 
Address:
             
email      Phone:
Grade Fall 2008:    School  Age
Swim Team Experience  Yes     No   -  Yrs. Experience:
Competitive Swim Clinic ck#   amount:
T- shirt size: S M L XL
Send Application and money to:
South Jefferson High School
c/o Athletic Dept  
P.O. Box 10
Adams, New York 13605

Checks payable to:
South Jeff Varsity Club
Registration is due June 27, 2008

Camp cost is $55.00 per swimmer
Emergency Contact: List any Medical Conditions:

If Parent/Guardian is not available please contact::
Name:   
Address:
Phone:   
Family Physician 
Parent/Guardian Signature: (must be handwritten not typed)
__________________________________________________________
Date: