Parent Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Diver 1 Name
*
First Name
Last Name
Diver 1 Birthday
*
MM
DD
YYYY
Diver 1 Age as of June 1
*
Please select below if applicable:
Diver 1 T-Shirt Size
*
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Diver 2 Name
First Name
Last Name
Diver 2 Birthday
MM
DD
YYYY
Diver 2 Age as of June 1
Please select below if applicable:
Diver 2 T-Shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Diver 3 Name
First Name
Last Name
Diver 3 Birthday
MM
DD
YYYY
Diver 3 Age as of June 1
Please select below if applicable:
Diver 3 T Shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Please choose meets each diver will attend
*
Diver 1
Diver 2
Diver 3
Please enter any additional notes for the coach here:
PLEASE READ and INITIAL before submitting this form:
*
PASDA Dive Champs and the Ben Franklin Invitational Meet require separate entry fees and the specific cost per event will be posted at sign ups at the pool. By submitting this signed form, you accept the $125 dive team fee per individual for 45 minute practices and sessions and understand that there are NO REFUNDS for the dive team fees. By submitting this signed form, you agree to the additional fees that may result from not fulfilling your Parent Dive Team Responsibilities ($75 per missed meet responsibility, with a maximum of $150).
