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2017 PASA Registration

PASA Registration

Annual Registration Fee: Members $125, Non-Members $200

Fall Session - September 5-December 15th 

Red Group $400; NM Fee +$150
White Group $500; NM Fee +$175
Black Group $525; NM Fee +$175
Advanced Group $600; NM Fee +$200

Non-Member Facility Surcharge: See fee listed after group pricing.

Note: upon check-out, no prices will be listed. Club members will be billed to their account. Non-members must submit payment by check the first week of practice.

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

Please indicate which parents will be volunteering this season. At least one parent/guardian is required to volunteer.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone Volunteer?

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Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
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Home Address

Parent Responsibility

As a participant in the LAGCC PASA program I agree to abide by all rules and regulations set forth by the Club, United States Swimming and Pacific Swimming and understand that failure to comply may result in immediate termination of my participation in the program without a refund.

Each family is expected to contribute to the team by volunteering in some capacity. For families who attend meets, parents will be asked to volunteer by timing. Swimmers not attending meets will be asked to volunteer for special events, parties and donating treats and snacks for special days.

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