Miami Valley Aquatic Club
MAKOs
Spring - Summer 2010 Registration
First Child's Info.
Full Name
*
Preferred Name
Group
*
-- Select --
Spring Stroke Clinic - $125
Bronze Full Season - $325
Bronze Partial Season - $215
Silver Full Season - $375
Silver Partial Season - $250
Gold - Full Season - $450
Group
-- Select --
Spring Stroke Clinic - $125
Bronze Full Season - $325
Bronze Partial Season - $215
Silver Full Season - $375
Silver Partial Season - $250
Gold - Full Season - $450
Will they swim meets?
*
-- Select --
Yes
No
If Yes, then a USS Registration card is needed.
$56 pays for registration with US Swimming through Dec. 31, 2010.
Must be paid before your child can be entered in their first meet.
Gender
*
-- Select --
Male
Female
Age
*
Date of Birth
*
MM/DD/YYYY
Medical Problems/Allergies
Needed for Medical Release Form
2nd Child's Info.
Full Name
Preferred Name
Will they swim meets?
-- Select --
Yes
No
If Yes, then a USS Registration card is needed.
$56 pays for registration with US Swimming through Dec. 31, 2010.
Must be paid before your child can be entered in their first meet.
Gender
-- Select --
Male
Female
Age
Date of Birth
MM/DD/YYYY
Medical Problems/Allergies
Needed for Medical Release Form