2025 dive team registration form

Please note: you must pay for your 2025 diver registration BEFORE completing this form (click here to get links to pay). If we do not receive payment, your diver(s) will not be added to the roster.

Diver name

First Name

Last Name

Diver date of birth

YYYY

Age as of June 1, 2025

Diver gender

New or returning diver

Winter diver? (includes middle or high school YMCA or dive club)

Please list any allergies or medical conditions

Legal guardian name

First Name

Last Name

Legal guardian cell phone (please include area code)

(###)

###

####

Home address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Legal guardian email address

Emergency contact name

First Name

Last Name

Relationship to diver

Physician name

First Name

Last Name

Physician phone (please include area code)

(###)

###

####

2025 dive team registration form

SEVEN HILLS SWIM & TENNIS CLUB