SAC Fall Swim Clinic 2008 Registration Form

Please return this form and payment to:

Shawmut Swim Clinic
c/o Matt Craven
PO BOX 318
Hopkinton, MA 01748

All Checks must be made payable to “Shawmut Aquatic Club”

Swimmer Information:

Name:__________________________________________ Age:____________________
(Please print)

Gender: M or F                    Date of Birth: ______________________

T-Shirt Size (youth sizes): Small Medium Large X-Large

Are you interested in tryouts for Shawmut Aquatic Club?      Yes          No

Swimming Experience: ____________________________________________________________

Swimmer’s Email:

Please list any medical conditions the SAC staff should be aware of:

Parent Contact Information: (Please print)

Name(s):_____________________________________________
Mailing Address (please list in space below)




Phone #:_____________________________

Parent’s Email:
We will email to confirm that we have received registration
REFUNDS will not be given for any reason.

Please specify whether you are paying with: Cash:_____ Check:_____