Registration PFL

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EmPOWERing Swimmers FOR Success in LIFE. A USA Swimming / Gulf Swimming member organization in Katy/West Houston Call Us! 832-622-2561

By submitting this form, I agree to register my swimmer, named below, with Power Aquatics: *

City: *

If you have any questions please contact the Team Manager at 832-303-3117 or teammanager@poweraquatics.org

Emergency Contact name and phone number other than parent: *

I grant Power Aquatics permission to use my child's photo on team slide shows and website. *

Yes

Gender: *

Swimmer First Name as it is on their birth certificate: *

Swimmer's Physician name and phone number: *

Street Address: *

TO REGISTER:

STEP 1) Use our interactive form, below, to register online for Power For Life. A new registration form is required each year. Also review and sign the MAAPP policy here.

STEP 2) Payment can be made online via PayPal or by sending check or cash.

Register for the Competitive Team - Thunder 3

Swimmer Date of Birth *

Swimmer Last Name as it is on their birth certificate: *

Zip Code: *

Mother's Name *

Parent Email *

POWER AQUATICS

Swimmer Middle Name as it is on their birth certificate: *

Registration fees for the 2021-22 season will be $182.

Home Phone

Registering for: *

PFL Competitive Team - Thunder 3

Parent/Guardian Cell Phone *

Please review and sign the MAAPP form here

Parent/Guardian Cell Phone 2 *

Medical and Allergy Information: *

School name and Grade: *

I have read and agree to the Power Aquatics waiver, policies & procedures, late pick-up policy, and payment policies outlined on the downloadable registration forms located on this web page. This electronic submittal counts as my signature to register my swimmer with Power Aquatics. *

Yes

Swimmer preferred name:

T-Shirt Size: *

Items with an asterisk are required.

Father's Name *

Insurance: *

Est.

2009

Registration fees are non-refundable