Texins Spring Swim Club: February 4th - May 8 2019 Spring Swim Club Question Title * 1. Parent Name: Question Title * 2. Parent Phone Number: Question Title * 3. Email Address: Question Title * 4. Registration Type: TI Employee TI Contractor TI Retiree Co-Locator Question Title * 5. List your AID/XID. If you are not a TI employee, provide applicable ID. Question Title * 6. Texins Membership Status: Texins Member Texins Non-Member Non-member; interested in membership Question Title * 7. Participant'(s) Name: Name: Name: Name: Question Title * 8. Texins Spring Swim Club Registration fee is: $150.00 per child for Texins members, and $200.00 per child for Texins non-members. Member Non-Member Question Title * 9. Payment Method: 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! Done