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Texins Spring Swim Club: February 4th - May 8
2019 Spring Swim Club
*
1.
Parent Name:
(Required.)
*
2.
Parent Phone Number:
(Required.)
*
3.
Email Address:
(Required.)
*
4.
Registration Type:
(Required.)
TI Employee
TI Contractor
TI Retiree
Co-Locator
*
5.
List your AID/XID. If you are not a TI employee, provide applicable ID.
(Required.)
*
6.
Texins Membership Status:
(Required.)
Texins Member
Texins Non-Member
Non-member; interested in membership
7.
Participant'(s) Name:
Name:
Name:
Name:
*
8.
Texins Spring Swim Club Registration fee is: $150.00 per child for Texins members, and $200.00 per child for Texins non-members.
(Required.)
Member
Non-Member
*
9.
Payment Method:
(Required.)
Credit Card
Payroll Deduction
Thank you for participating in the 2019 Spring Swim Club ! If you have any questions feel free to email
gfonseca
@ti.com
. We look forward to seeing you on February 4th!
