Winter 2024 Youth Splash and Dash

Current Kingsbury Club Members or those with current login information can register for the event directly through the Club App.

Participant Name(*)

Please let us know your name.

Participant DOB(*)

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Parent-Guardian Name(*)

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Cell Phone(*)

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Email(*)

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Street Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Are you a Kingsbury Club Member?(*)

YesNo

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Are you between the ages of 6 and 15 and can swim at least 25 yards (one length of lap pool) without need for assistance?(*)

YesNo

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Other Comments (special needs, health concerns, etc.)

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Terms(*)

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I agree to all terms and conditions(*)

Yes

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