Swim Team
Pre-Registration
Pre-registration Form
Swim Team
 Today's
Date
Tampa Palms
Session I
Grand Hamptons
Session II
Seven Oaks
Session III
Bridgewater
Please complete the following application. Do not leave any space blank. If a space does
not apply to you please enter N/A. Thank you.
2011 Swim Team
Parents Name
Email        example tom@aol.com
Last
 First
Parents Name
Email        example tom@aol.com
Last
 First
Child's Name
 Age
Last
 First
Age
Last
 First
Age
Last
 First
Age
Last
 First
Address
Street
 City
State
Zip
Phone
Work
Home
 Cell
Area Code
 Area Code
 Area Code
Emergency
Contact
Home
Area Code
Last
 First
Someone other than yourself we can contact in case of emergency.
Child's shirt size
 Child's shirt size
YL
S
M
L
XL
XXL
Child's shirt size
 YL
S
M
L
XL
XXL
 YL
S
M
L
XL
XXL
Child's shirt size
YL
S
M
L
XL
XXL
Upon completion of this application payment is due for the session
you will attend first. If choosing multiple sessions payment is due
before your second session starts. (Registration & Session Fee )
Please send check or money order to:               
                        
Make check payable to:    
PROtential Sports
19046 Bruce B Downs Suite 83
Tampa FL 33647

Or pay with Credit Card after submitting information
Please review your
answers and make
sure every space is
filled. Then submit.
2011
Please check the session your child will be attending. The registration system is based on a first come first serve
basis with limited space available. Please check all weeks your child will be attending. Thank You