GSC Swim Team Registration

Child 1 First Name

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Child 2 First Name

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Child 2 DOB

Child 2 Gender (M/F)

Child 3 First Name

Child 3 Last Name

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Child 4 First Name

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Life is Better by the Pool.

Physical Address: 738 Dick Street

Mailing Address: PO Box 426

Gibsonville, NC 27249

336-449-4100

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