2008 MARLIN STROKE WORKSHOP
REGISTRATION FORM

CLASS SCHEDULE
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Swimmer Information

One Form per Swimmer
First Name: MI:   Last Name:  
Birthdate: Age:   Sex:  Male  Female
Mother's Name:
Father's Name:
Address:
City: State:   Zip:  
Home #:
Father's Work #: Mother's Work #:
Primary E-mail:
Secondary E-mail:

Other Swim Team Affiliates

Please indicate the names of your summer league team and/or your United States Swimming if applicable.
Summer Team:
USA Team:



Additional Comments:



MAIL REGISTRATIONS TO:   POTOMAC MARLINSP.O. Box 4190ARLINGTON, VA 22204
Print two copies of this registration form - one to mail with required fee and one for your records.