Augusta Jewish Community Center
JAWS Swim Team
Online registration or downloadable registration form available below.
JAWS SWIM TEAM REGISTRATION
Swim Team Price: Year round member, $50/swimmer, Summer member or Day Camper, $65/swimmer
First Name
*
Last Name
*
Birthday
*
Age as of June 1
*
Email
*
Phone:
*
Work Phone:
Cell Phone:
Street:
*
City:
*
State:
*
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip code:
*
Please list medications that your child regularly takes:
Pediatrician:
Pediatrician Phone #:
Emergency contact & phone:
Payment
*
$50/full year member
$65/summer member
$65/daycamper
Payment method:
*
Check
Cash
MC
VISA
AMEX
Discover
T-shirt size:
Please choose three meets to volunteer at.
MEET SCHEDULE
June 1
June 8
June 15
June 22
June 29
Please choose job: Training available for all positions
Timer
Stroke & Turn Judge
Runner