DONNER SWIMMER'S ONLY- complete and submit for each swimmer
TO USE THIS FORM YOU MUST COMPLETE THE CAPTCHA (4 letter code) AT THE END BEFORE SUBMITTING. A RECEIPT EMAIL WILL BE SENT TO YOU. IF YOU DO NOT RECEIVE A RECEIPT EMAIL YOU DID NOT SUBMIT THE FORM CORRECTLY.
PROOF OF BIRTHDATE IS REQUIRED TO COMPETE
Swimmer's Last Name
Swimmer's First Name
Team Gold Age Group Elite Age Group Developmental Beginning Competetive
Swimmer's Age Birthdate 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Parent's Name
Phone
Email
PLEASE CHECK ALL MEETS AND SESSIONS ATTENDING:
Seymour Pepsi Plunge
July 15-17
Friday Saturday Sunday
DUE ON-LINE June 4
Notes
Center Grove
10 & Under Invitational
July 19
Tuesday
Indian Creek
End of Season Finale
July 26
General Notes
Please complete CAPTCHA code in box above. This form cannot be submitted without doing so.
If you do not receive a receipt email, then the form has not be submitted correctly.
