Program Registration Form

"*" indicates required fields

Please enter your information in the Form below and click the Submit button at the bottom of this page. We will contact you shortly.

Trainee Information

MM slash DD slash YYYY

Enter Parent’s Name if Registering for Youth Program

Contact information

Address

Emergency Contact

Programs

I (we) would like to register myself / my (our) child with Markov’s Aquatics (M.A.S.C.) for the following program(s).
Youth Programs:*
Number of Training Times Per Week
Training Days (See Training Schedule for details)

Training Start and End Dates

MM slash DD slash YYYY
MM slash DD slash YYYY
This field is hidden when viewing the form

Markov’s Swimming Camps

This field is hidden when viewing the form
I / (we) also would like to register for Swimming Camps held during:

Payment Information

Please Note: Uniforms must be purchased.
I agree to pay the amount by E-transfer:*
Please Note: All swimmers members of M.A.S.C. must purchase Club’s uniforms
This field is for validation purposes and should be left unchanged.