Online Registration

Welcome to the Croasdaile Country Club 2012 Season.

Register up to 3 swimmers at once (if more needed, add a new registration)
Double check your email address as this will be the primary method of communicating with you during the season

Must be a current Croasdaile Country Club member to participate*
A registration fee of $75 per swimmer will be billed to your club account (see note). Fee includes swim team registration, T-Shirt and CCC Swim Cap.

*Grandchildren of Croasdaile Country Club members are also eligible to participate

Note: Submitting the registration form does not automatically enter the Croasdaile billing system. We will submit the registrations to Croasdaile to enter to your club account.

Parent Contact Information

Primary Contact for the swim season *

Mother Father Both Mother and Father Legal Guardian (Please list any unique considerations under Special Instructions section at bottom)

When registering both parents below, please list mother as first contact and father as second contact for consistency in our reporting.

First Contact *

First

Last

First Contact Email *

First Contact Phone # *

Adult T-Shirt Size *

Adult Small Adult Medium Adult Large Adult X-Large

Second Contact *

First

Last

Second Contact Email *

Second Contact Phone # *

Adult T-Shirt Size *

Adult Small Adult Medium Adult Large Adult X-Large

2012 Online Registration Form