MIST - REGISTRATION FORM
(Print form, complete, indicate training group, and mail to:
MIST, 1135 Candy Lane, Erie, PA 16505, with check payable to: MIST)
Form for 2011-2012
Our
Fall-Winter
fees now include the yearly USA Swimming fee. Your third and subsequent swimmers
in your family are only $75.00 each which includes their USA Swimming insurance
fee.
| Developmental |
$475 |
| Competitive |
$575 |
| Pre-Senior
& Senior |
$605 |
Late
joiners: October-90%; Nov.- 75%; Dec. – 60%; Jan.- 50%; Feb. – 40%; Mar. –
30%; Apr.- 20%
| Swimmer
(include middle initial) |
Preferred name |
Birthdate
|
Training
Group |
Fee |
|
TOTAL
(checks payable to MIST) |
|
| Parent(s)/Guardian(s) |
Best phone (we will only call in emergencies) |
MIST-MYAA
waiver:
