Swimmer's legal name:     Age (on Nov 14, 2009):

 USAS# : (** very important)    NT club code:

 Address:     City:     Zip:

 Parent(s) name:

 Parent phone:     Parent mobile phone:

 Parent e-mail:

 T-shirt size (adult sizes):    XS    S    M    L    XL

 Hoody sweatshirt size (adult sizes):    XS    S    M    L    XL

    (**by rule, the NT team color this year is red)

 After you click submit you should be sent to a text page displaying your application information.  Please submit your application only once.  Multiple submissions only confuses the selection process.  If you made an error or wish to withdrawal your application please e-mail Coach Heather Maher at: maherh@cisdmail.com