Summer Swim Team Sign Up

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Order ID

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Are you a current member at Clubworx?

Clubworx Member

Summer Swim Only Members

Participant Details

How many children are joining?(Required)

Child's Info

Clubworx Member Price

Price:

Summer Swim Only Members Price

Price:

Participant's Name(Required)

Participant's Birthday(Required)

Participant's Allergies

2 Children

Clubworx Member Price

Price: $197.00

Summer Swim Only Members Price

Price: $251.00

Participant #1 Name(Required)

Participant #1 Birthday(Required)

Participant #1 Allergies

Participant #2 Name(Required)

Participant #2 Birthday(Required)

Participant #2 Allergies

3 Children

Clubworx Member Price

Price: $197.00

Summer Swim Only Members Price

Price: $251.00

Participant #1 Name(Required)

Participant #1 Birthday(Required)

Participant #1 Allergies

Participant #2 Name(Required)

Participant #2 Birthday(Required)

Participant #2 Allergies

Participant #3 Name(Required)

Participant #3 Birthday(Required)

Participant #3 Allergies

4 Children

Clubworx Member Price

Price: $197.00

Summer Swim Only Members Price

Price: $251.00

Participant #1 Name(Required)

Participant #1 Birthday(Required)

Participant #1 Allergies

Participant #2 Name(Required)

Participant #2 Birthday(Required)

Participant #2 Allergies

Participant #3 Name(Required)

Participant #3 Birthday(Required)

Participant #3 Allergies

Participant #4 Name(Required)

Participant #4 Birthday(Required)

Participant #4 Allergies

Contact Details

Emergency Contact Name(Required)

Emergency Contact Number(Required)

Members, Enter Your Key Tag Number

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

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