| Shirt Size | Swimmer's Name | DOB | Total Due | |
| 1 | $135 | |||
| 2 | $225 | |||
| 3 | $305 | |||
| 4 | $375 |
| Father's name: work/cell phone: |
| Mother's name: work/cell phone: |
| Address: |
| Secondary address: |
| Home phone: |
| Other emergency contact: |
| Email most likely to be checked: |
| 1 Tee shirt for each swimmer is included inthe registration fee. Please indicate the size and amount of any additional CST shirts you would like to order. This year's shirt will be ash with a simple CST graphic. Ladies tanks are also available, color TBD. All extra shirts are $10, payable to CST when the shirts come in. extra shirts to order: (# and sizes): ______________________________________________ |
| My signature below indicates my permission for the CST website to use my child's name in CST results as well as appropriate pictures with NO name. I understand that my child's name may also be used in meet programs. __________________________________________________________Date__________________________ |
| Completed forms and fees can be mailed to Dawn Klinger 5380 Co. Rd. 1435, Vinemont, AL 35179 |
| A copy of swimmers' birth certificate is required if not already on file with CST. Please have all paperwork including registration form, medical form(s), check to CST, and tee shirt order turned in by May 2 in order to get our tee shirts on time. |