THE ADVANCEMENT FOUNDATION
2014
CITY SWIM BARRACUDAS TEAM
If returning from last year check here____ FAMILY NAME:______
Parent/Guardian Name:______
Home Address:______City/Zip______
Phone numbers______Email Address:______
SWIMMERS:
1. Name ______Age___Birthdate:______Sex: ______
School______T-Shirt Size_____
Circle One: Swims very well Swims fairly well Can NOT swim
2. Name ______Age___Birthdate:______Sex: ______
School/work______T-Shirt Size _____
Circle One: Swims very well Swims fairly well Can NOT swim
3. Name ______Age___Birthdate:______Sex: ______
School/work______T-Shirt Size _____
Circle One: Swims very well Swims fairly well Can NOT swim
4. Name ______Age___Birthdate:______Sex: ______
School/work______T-Shirt Size _____
Circle One: Swims very well Swims fairly well Can NOT swim
5. Name ______Age___Birthdate:______Sex: ______
School/work______T-Shirt Size _____
Circle One: Swims very well Swims fairly well Can NOT swim
6. Name ______Age___Birthdate:______Sex: ______
School/work______T-Shirt Size _____
Circle One: Swims very well Swims fairly well Can NOT swim
NOTE: T-SHIRTS sizing: Adult: Small, Medium, Large, Extra Lrg, XX Large
Youth:Small, Medium, Large
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Goals for joining the team:(circle all that apply): Have fun Make new friends
Learn all four strokes Will continue on a school/private team after summer
Be Mentored Exercise Family Time Go to Swim Meets Get Awards
CHECK ONE: TEAM membership fees cover: Team t-shirt, cap, meet entries, awards etc.
______One swimmer team membership $50.00 for the summer
______Family team membership$75.00 for the summer
METHOD OF PAYMENT: ____ Check (enclosed) ____ Credit Card ___ Sponsored *
Visa OR MasterCard
Name as it appears on card ______
Card #______Three digit code on back: ______Expiration:____
* Sponsored by ______
EQUIPMENT needed please check all that apply: include numbers if more than one swimmer(returning swimmers should use last year’s items)
Include #s if more than one swimmer: ____ Suit ____ goggles ____ swim cap
PARENT VOLUNTEERS NEEDED:
____ I am willing to volunteer to help in the following ways (circle all that apply)
____ Help with one of the three Saturday swim meets at Washington Park
____ Drive to meets (how many in addition to your family ___)
____ Organize the team opening or closing party ___ Help with Monday night meets
____Help lifeguard (must be certified) ___ Make baked goods for meets.
____ Clean up after practices or meets ___ Be a timer for events (training provided)
____ Help recruit swimmers in the community ___ Keep children organized at meets
OTHER:______
Return to:
The Advancement Foundation ~ 301 S Pollard, Vinton VA 24179
Fax 345.1292 OR call Jen at 540-488-8020