Registration

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Name(required)

Email(required)

Address, City, State, Zip(required)

Mobile phone #(required)

Birthdate, age as of August 9, 2020 and school grade(required)

Parent Name + Mobile # (required)

USA Swim Club or High School Team(required)

Club or High School Coach(required)

Coach email(required)

I certify that the above contact information, age requirement (entering 11th or 12th grade) and parent contact information is correct. (required)

I understand I'll receive a confirmation email once accepted or I'll be placed on a waiting list and informed of my status. Once I receive confirmation, I'll have 48 hours to make payment. No refunds will be given if I cancel after September 11th at 5pm.(required)

Instagram so we can tag you:

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