2009-10

Student Name                                                                                   

(Include first, middle, and last names as it appears on birth certificate.)

School________________ Grade_____ E-mail___________________

Address___________________________________________________           __________________________________Zip________________

Home #__________ Student cell#__________ Birthday____________

Parent Name (1) __________________________ Cell #_____________

     Employment___________________________ Work #____________

Parent Name (2) __________________________ Cell #_____________

     Employment___________________________ Work #____________

Parent’s E-mail:___________________________

Shirt Size______   Short Size_______            Sweatshirt/Jacket Size_______

                (Use YL, S, M, L, XL, or XXL.)

Bathing Suit Size______

Have you ever tried out for the team before? ______ When? _________

# of seasons on the team_____          # of seasons lettered on the team_____

School attended last year: ____________________________________

DO NOT WRITE BELOW THIS LINE

1.      Birth Certificate (new)____ (on file)____                                                   

2.      Athletic Insurance ($36)______                             

3.      GHS Physical form dated after April 1, 2009_______

4.      GHS Release for Medical Treatment Form________

5.      MHS Extra-Curricular Form_______

6.      Academically Eligible                     

7.      Swim Team Booster Fee _______