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804-288-4421
8100 Holmes Avenue Henrico, VA 23229
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Masters Swim Sign Up
2024 Masters Swim Program
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*
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Name
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Acct #
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Member #
0
Name
*
First
Last
Email
*
Phone
*
Swim Experience Level
TADPOLE (can swim down and back)
FISH (enjoy swimming, can swim a few lengths at a time)
SHARK (some experience w/ swim workouts or competitive swimming)
Masters Swim Fee
Quantity
Price:
$75.00
Quantity
Please pay a one-time $75 fee to join the swim program. If you've already paid or intend to pay by cash or check, simply leave the quantity and credit card fields blank.
Credit Card
American Express
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
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07
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Year
Year
2025
2026
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2044
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Cardholder Name
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Order Token
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