2009 Lawrence Park Swim & Dive Team Registration
Parent Information:
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Parent’s Name(s) |
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Street Address |
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City, State Zip |
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Home Phone # |
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Parent Cell# |
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Parent Cell# |
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E-Mail Address |
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E-Mail Address |
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Swimmer Registration Information:
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Swimmer’s Name |
M/F |
Date of Birth |
Amount Paid |
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1 |
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2 |
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Registration Fee is $90.00 per swimmer with a $240.00 family maximum.
Diver’s Registration Information:
Note: If your child wants to Swim AND Dive, they must register for both.
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Diver’s Name |
M/F |
Date of Birth |
Amount Paid |
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1 |
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2 |
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3 |
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Registration Fee is $90.00 per diver with a $240.00 family maximum. If your child is also registered as a Swimmer, the additional fee for the Dive Team is $30.00 per diver, regardless of the family maximum.
Please submit registration and payment no later than June 6th, 2009. 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).