BTSC Club/Clinic 2011-12 Registration Form

Please complete form in its entirety.  Submit completed form either by faxing to (240) 221-3109, email to coachdale_1@msn.com, or mail to: BTSC, 2604 Baywood Ct, Silver Spring, MD  20906.  If you have any questions please contact Dale Lewis @ 301-252-0712. 

Swimmer Information:

Last Name:    First       Middle    Prefered:

Date of Birth (mm/dd/yy):     Street Address:

City:     State:   Zip:            Home Phone No.:

Parent Information:

Father's Name:                       Mother's Name:       

Work Phone:                         Work Phone:     

Cell Phone:                             Cell Phone:       

email:                                       email:               

Group and Schedule Information:  Schedule information for club participants is for informational purposes only. 

Club Fees/Payment Plan

Registration Fee:  $150/per swimmer                            Program Fee:  $975

A  deposit of $300 per swimmer is required with registration.

A $75 dollar discount will be given if full payment is received by 9/26.

Stroke School/ Payment Plan 

Registration Fee: $35/per swimmer                            Program Fee: $525 ( 1 practice)    $900 ( 2 practices )

A deposit of $200 per swimmer is required with registration.

A $50 dollar discount will be given if full payment is received by 9/26

All payments are non refundable.