Potomac Marlins
College Swimmer Registration Form

Swimmer Name:
Birth Date:
Mailing Address:
Primary Phone:
Primary E-Mail:
College Team:

Please select one or more of the following registration options.
FULL YEAR   

$450 - FULL YEAR (Summer and all Holiday/Breaks)

$400 - SUMMER PROGRAM ONLY

$25 - THANKSGIVING BREAK ONLY

$75 - WINTER HOLIDAY BREAK ONLY

USA SWIMMING REGISTRATION/INSURANCE  (please check one)

I am not currently USA swimming insured. 
Please add $75 USA/PVS registration/Insurance fee to registration fee.

I am currently USA Swimming insured.
Insured swimmers must attach Xerox copy of their current USA swimming registration card or equivalent info.

Meet Entry Fees (MEF) for competing swimmers will be handled on a case-by-case basis by Coach Bill Marlin.

Please complete, print and return with appropriate fee prior to first practice to:

Potomac Marlins
P.O. Box 4190
Arlington, VA 22204

Acceptance within the Potomac Marlins program is at the discretion of the deck coaches and based upon lane space availability.  College swimmers may not be accepted into programs which are full.