JCMS Swim and Dive 2021 Season

Question Title

* 1. Child's First Name

Question Title

* 2. Child's Last Name

Question Title

* 3. Parent 1 Name

Question Title

* 4. Parent 2 Name

Question Title

* 5. Cell Phone Number

Question Title

* 6. email address

Question Title

* 7. Home Address

Question Title

* 8. Which Team

Girl's Diving

Girl's Swimming

Boy's Diving

Boy's Swimming

Question Title

* 9. Prior swim/dive experience

USA Swim Club Experience

YMCA Swim Club Experience

Completed a Swim lesson program

Dive lessons (or gymnastics)

No swimming or diving experience

Question Title

* 10. T-shirt size