College Week® of Swimming 2025 – Registration Form

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Step 1 of 3

Name

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Last

Phone Number (Please add Viber or WhatsApp number if applicable)

Email

Gender

Date of Birth MM/DD/YYYY

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Zip Code

Parent 1 Contact Information

Name

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Last

Phone

Email

Parent 2 Contact Information

Name

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Last

Phone

Email