Atlantis Swimmers Open House Sign-In Sheet
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2***FOR NEW FAMILIES ONLY; OPEN HOUSE SIGN-IN SHEET***
Parent First Name:
Last Name:
Best contact phone number:
Primary email address:
Information about prospective 2016-2017 Atlantis swimmer(s):*
Swimmer First name:
Last name:
Gender (please circle):
Female
Male
Birthdate:
Current age:
Has a placement swim been completed with an Atlantis coach? (please circle) NO
YES
If YES to above, what was the placement group? (please circle)
Speedster
Bronze
Silver
Silver Adv.
Gold
Gold Adv.
Senior
Was swimmer on another USA swim team last season? (please circle) NO
YES
If yes, which team?
Was swimmer on a summer swim club THIS summer? (please circle)
NO
YES
If yes, which team?
Was swimmer on a school swim team LAST year? (please circle)
NO
YES
If yes, which team?
*For additional swimmers, please use the other side of this page
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