JOIN THE LAKES MERMAIDS!

Athlete Name *

First Name

Last Name

Athlete's Birthday *

Used to determine Fina Age

MM

DD

YYYY

Returning TLM Athlete

Yes

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent #1 Name *

First Name

Last Name

Parent #1 Phone Number *

(###)

###

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Parent #2 Name

First Name

Last Name

Parent #2 Phone Number

(###)

###

####