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SwimMania 2009
Preregistration Form – one form per family.  
Email to dorseydolphins@comcast.net by Friday at Five.

Swimmer’s Name(s):

1.
2.
3.

Age(s):
1.
2.
3. 

 
Put an X in front of the statement below that applies to you.

- My child is unable to attend, but would like to donate $_______
- My child will attend but WILL NOT stay overnight.
- My child will attend and WILL stay overnight.
- I/We WILL stay overnight with my child.
- I/We WILL NOT stay overnight with my child.  Enter chaperone info below. 

Number of family members attending:
Number of family members staying overnight:

Parent Name:
Parent Home Phone:
Parent Cell Phone:
Other Emergency Contact Name:
Other Emergency Contact Phone:
 
If not staying overnight with child, who is the Adult Chaperone responsible for your child at SwimMania? 
Chaperone Cell Phone (bring to SwimMania):

NOTE: Parent or Chaperone will need to sign in swimmers at the beginning of SwimMania.  If a swimmer does not have a parent or chaperone present at midnight, their parent will be called to pick them up.

Each family must make a $30/child or $60/family donation paid upon arrival to SwimMania.