Registration 

SWTJC TSUNAMI SWIM TEAM
REGISTRATION WILL BE 

PROCESSED WHEN PAYMENT 

IS MADE IN THE SWTJC BUSINESS OFFICE.  

Fee:  $192.00 – made payable to:  

 Southwest Texas Junior College  

Payments made: SWTJC Business Office

Registration Dates: 

April 24, 2008 - June 05, 2008 

Information:               

Contact: Landra Fowler (830) 591-7251 

Email: llfowler@swtjc.edu

Email: fowlerl@swtjc.cc.tx.us

Swim Coach:           Landra Fowler

 

                                 

 

LEGAL FIRST NAME:

  MIDDLE INITIAL:

LAST NAME:

AGE:

MALE OR FEMALE:

DATE OF BIRTH: 

ADDRESS:

CITY:  

ZIP CODE:

PHONE:

CELL PHONE:

WORK PHONE:

EMERGENCY CONTACT NAME:

EMERGENCY CONTACT PHONE:

CURRENT GRADE:

FATHERS NAME:

MOTHERS NAME:

SWIMMER E-MAIL:

PARENT E-MAIL:

ARE YOU CURRENTLY REGISTERED UNDER

USA SWIMMING?:


USA Swimming