High Lane Club
Swim and Dive Team Registration
DATE AND TIME TBD
Child’s First and Last Name, Age, and Team choice:
(Swim & Dive, Swim only, Dive only)
1._____________________________________________________________
2._____________________________________________________________
3._____________________________________________________________
Parent’s name(s):________________________________________________
Email:_______________________________ Phone:_____________________
Emergency Contact Name:_________________________________________
Emergency Contact Phone:_________________________________________
Swim Team Cost:
Discounts for multiple children! Sign up the whole gang! We Love a family of swimmers!
- 2nd child: $240 total or $120 per child
- 3rd child $330 total or $110 per child
Dive Team Cost:
- $100 1st child
- $80 2nd child
- $60 3rd child
Amount Paid:__________ CK#__________ Charge HLC Account: Y / N
Yes, I would like to help my coaches with (please √):
Awards night __ Ribbon/Trophy coordination __ or wherever needed __
**Each parent will be required to be a Time keeper (during all meets). Schedule to follow.
Thank You!