2018 Flowers Piranhas Swim Team

Registrant Information

Registration Options

Members - price per child ($90.00)
20% discount for any additional child/sibling that is registered after the first two.
Non-Members - price per child ($110.00)
20% discount for any additional child/sibling that is registered after the first two.

Child's Name

Parent's Name

Member Number (if applicable)

Phone Number

Address

Child's Date of Birth

How did you hear about us?

T-Shirt Size

Swimsuit Size (If Known)

Convenience Fee (IMPORTANT NOTE- You can edit or delete this field)

$0.50

Terms

I, the undersigned, agree to the terms above.

Yes! I am interested in volunteer coaching opportunities!

Total

$0.50

Name

Credit Card

Address

This page is secured with 256 bit encryption