|
| | MIST REGISTRATION FORM
(Print form, complete, indicate training group, and mail to:
MIST, 3302 Baer Beach Road 9B, Erie, PA 16505, with check payable to: MIST)
Form for 2007-2008
Swimmer _________________________________
First
m.i.
Last
Birthdate ________ Pref. name_______________
Parent/Guardian (s) _______________________
Address___________________________________
City _________________ State ____ Zip _______
email _____________________________________
|
Renewals: check here to use current
changes
Write only changes or updates below:
Parent # 1
Home #________________________________
Work #__________________Cell#____________________
Parent # 2 Home # _______________________________
Work # __________________Cell # __________________
|
| PAYMENT
SCHEDULE
DEVELOPMENTAL ONE
Fall 170.00
Win/Spr 200.00
Fall/Win/Spr 320.00
Summer 150.00
Year 400.00
DEVELOPMENTAL TWO
Fall 200.00
Win/Spr 230.00
Fall/Win/Spr 380.00
Summer 170.00
Year 490.00
COMPETITIVE
Fall 250.00
Win/Spr 290.00
Fall/Win/Spr 480.00
Summer 190.00
Year 600.00
PRE-SENIOR
Fall 270.00
Win/Spr 310.00
Fall/Win/Spr 500.00
Summer 200.00
Year 630.00
SENIOR
Fall 270.00
Win/Spr 310.00
Fall/Win/Spr 500.00
Summer 200.00
Year 630.00
MAXIMUM FAMILY FEE
Fall 425.00
Win/Spr 525.00
Fall/Win/Spr 850.00
Summer 375.00
Year 1150.00
|
LATE
JOINERS
October 80% of fall fee
November 50% of fall fee
December 20% of fall fee
February 80% of win/spr fee
March 60% of Win/spr fee
April 40% of Win/spr fee
May 20% of Win/spr fee
SEASON DATES
FALL- Sept. 4 through Dec. 14
WINTER/SPRING- January 2 through May 31.
SUMMER-June 1 to August 6
LEVEL you are registering
for ________
PERIOD OF TIME (e.g.
fall, year) ________
MIST
FEE
________
USA
FEE
________
*$58.00 for the year , or $38.00 for summer (June-July-August); leave
blank if currently registered (Yearly USA Swimming membership expires
Dec. 31).
You must be a member of USA Swimming
to be a member of MIST.
TOTAL
________
--- make checks payable to
MIST --
++ please note: to get the yearly fee rate,
the fee must be paid in
full by Sept .
15.
When paying the yearly fee,
please note our "year "
starts in September |
|