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The  Elks Swim Club

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Elks Swim Team

Elks Lodge Information

Location and Directions

Pool Board Members

Board Meeting Minutes

 Elks Swim Team 2010

Last Name ________________    Home Telephone ___________  

Street Address __________________________________________________

City ___________________     State __________        Zip __________

Mother _____________ Work Telephone ________   Cell Phone __________

Father _____________ Work Telephone ________   Cell Phone __________

Email: 1. ____________________     2. _______________________

EMERGENCY CONTACT_________________TELEPHONE:____________

 ____ Check here if any of the swimmers listed were NOT on the swim team in 2009.

First Name _____________     Birth Date ___/___/___     Male    Female

First Name _____________     Birth Date ___/___/___     Male    Female

First Name _____________     Birth Date ___/___/___     Male    Female

First Name _____________     Birth Date ___/___/___     Male    Female

One form per FAMILY should be completed and returned along with $45.00 per swimmer or a maximum of $125.00 per family payable to P.E.S.T.

Please mail this form to:

Michael McKenzie, 737 Burnley Rd., Wilmington, DE  19803

To effectively run swim meets, volunteers are needed to help with the following jobs in addition to “Timers.”  Please indicate what you would be willing to help with this year.

MEET REFEREE_____ HEAD TIMER _____ ANNOUNCER _____ STARTER _____  PLACE JUDGE _____ STROKE/TURN JUDGE _____  SCORERS _____RIBBONS _____ SNACK BAR_____  MEET SET/UP ______  BULLPEN ____

----------------------------------------------------------------------Official Use Only

Cash _________    Check # ______    Amount _______ Date Received__________