2010 Lawrence Park Swim Team Registration

 

Parent Information:

Parent’s Name(s)
Street Address
City, State Zip
Home Phone #
Parent Cell#
Parent Cell#
E-Mail Address
E-Mail Address

 

 

Swimmer Registration Information:

	Swimmer’s Name	M/F	Date of Birth	Amount Paid
1
2
3
4
5

 

Registration Fee is $90.00 per swimmer with a $240.00 family maximum.

 

 

 

 

Please submit registration and payment no later than May 15^th, 2010.  Registration forms and payment can be mailed to:

                                                Anthony Diprospero

                                                140 S. Manoa Road

                                                Havertown, PA  19083

 

                Checks should be made out to Lawrence Park Swim Team (LPST).