Registration

First Name

Last Name

Street Address

Street Address (2)

City

State

Zip Code

Email

Phone Number

Gender

Male Female

T-Shirt Size

YM YL XS Small Medium Large X-Large XXL

Age Group

17 & Under 18-29 Yrs. 30-39 Yrs. 40-49 Yrs. 50-59 Yrs. 60+

High School Swim Team

GRIMN Marquette Westwood Other

Heat

8:30 AM "Short-N-Sweet" Swim 9:00 AM (Beginners) 9:30 (Advanced)