MAIL TODAY
with your pre-registration fee(s) made
payable to:
Central States Swim Clinic
c/o Sue Davis, Athletic Dept.
Swarthmore College
500 College Ave.
Swarthmore, PA 19081
POSTMARKED
BY Monday, May 6th
Please only ONE NAME per registration
form - please print legibly.
(No credit cards or purchase orders accepted)
Coach $175.00: ________
Swimmer
(8 yrs & up) $165.00: ________ Age:
_______
Name: _______________________________________________________
Home Address: ________________________________________________
City: _______________________ State: __________ Zip:
__________
Phone ( ) _______________ E-mail
Address: ______________________
Club/School Affiliation: ___________________________________________
Type of Program: _College _H.S.
_Age Group
Length of Season: ______________________
Optional
courses:
Becoming a Great Swim Meet Coach (Th) . . . . . .. . .
. . . . $50.00 __________
The Physiology School (Fri) . . . . . . . . . . . . .
. . . . . . . . . . . . $60.00 __________
Creating Team Leadership (Fri) . . . . . . . . . . . .
. . . . . . . . . .$50.00 __________
USA Club Leadership/Business Management (Th & Fri)
. $20.00 __________
MAIL YOUR REGISTRATION FORM TODAY!!
DON’T MISS THIS CLINIC!!
Don’t forget your hotel reservation for special clinic rates.