Gold Medal Swim Club – Gold Medal Swim School

Parent/Guardian Information

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Last Name*

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Street Address*

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City*

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Student Information

First Name*

Last Name*

Preferred Name (optional)

Gender*

Date of Birth*

Team Selection*

T-Shirt Size*

HIDDEN Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?

HIDDEN Is your swimmer currently a registered USA Swimming club member?

Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*

Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*

Would you like to add another student?

Yes

Student Information

First Name*

Last Name*

Preferred Name (optional)

Gender*

Date of Birth*

Team Selection*

T-Shirt Size*

HIDDEN Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?

HIDDEN Is your swimmer currently a registered USA Swimming club member?

Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*

Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*

Would you like to add another student?

Yes

Student Information

First Name*

Last Name*

Preferred Name (optional)

Gender*

Date of Birth*

Team Selection*

T-Shirt Size*

HIDDEN Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?

HIDDEN Is your swimmer currently a registered USA Swimming club member?

Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*

Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*

Student Information

First Name*

Last Name*

Preferred Name (optional)

Gender*

Date of Birth*

Team Selection*

T-Shirt Size*

Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*

Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*

GMSC Registration

WELCOME TO THE GOLD MEDAL SWIM CLUB

Gold Medal Swim Club Registration

Gold Medal Swim Club Policies

Parent/Guardian Consent

Gold Medal Swim Club Policies and Procedures

Parent/Guardian Acknowledgement

Parent/Guardian Information

Student Information

Student Information

Student Information

Student Information

Health Insurance Information

Primary Care Physician Information

Emergency Contact Information

Parent/Guardian Medical Release

Credit Card Information

WELCOME TO THE GOLD MEDAL SWIM CLUB

Gold Medal Swim Club Registration

Gold Medal Swim Club Policies

Parent/Guardian Consent

Gold Medal Swim Club Policies and Procedures

Parent/Guardian Acknowledgement

Parent/Guardian Information

Student Information

Student Information

Student Information

Student Information

Health Insurance Information

Primary Care Physician Information

Emergency Contact Information

Parent/Guardian Medical Release

Credit Card Information