UCSC

Application for Membership

Summer 2005 

Father’s/Guardian’s First and Last Name

 

 

Mother’s/Guardian’s First and Last Name

Home Address

Home Address

 

 

City                                 State              Zip

City                                 State              Zip

 

Home Phone

Home Phone

 

Business Phone

Business Phone

 

Cellular/Pager

Cellular/Pager

 

E-mail Address

E-mail Address

 

 Swimmer(s) Enrolling 

Child’s Name

Age

Gender

Birthdate

School

Group

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registration Fees Summer 2005

Team

Training Fee per Month

USA Dues (mandatory)

 

 

 

SuperSwimmer

$40

$46

AGD

$50

$46

Senior

$50

$46

High School Prep (HSP)

$50

$46

Masters

$40

Swimmer’s responsibility

 

Please read the following information thoroughly and initial below. 

  1. Training fees will be divided into quarterly installments
  2. 100% of USA Swimming dues are due at registration
  3. Meet fees will be billed later in the season
  4. After the first four weeks of the winter session, fees are not refundable. In the event your child stops swimming for UCSC, please notify the Treasurer or another Board member immediately.