United Swimming Clinics

Camper Info.

Camper's Full Name: *

Age: * Camper's Age

Date of Birth: * Camper's Date of Birth

Sex: * MaleFemale

Contact Info.

Street Address *

Address continued

City *

State *

Zip *

Phone #:

*( )

* -

Camper's E-Mail: * Camper's E-Mail

Parent's E-Mail *

Camper Info.

Roommate Request (only 2 swimmers per room - for overnight camp only):

Select Type of Camp: *

Choose your camp: * Pick the week you wish to come to.

How did you hear about us?

By clicking the "Submit" button, you are asking United Swimming Clinics to reserve you a spot at one of our camps this summer.

You have seven (7) business days from the day this application is submitted to mail your $150.00 deposit fee to United Swimming Clinics. United Swimking Clinics does not guarantee a reservation if your deposit is not received with in seven (7) business days.

If you are waitlisting for Session II, a $150.00 deposit is not required.

Make Checks Payable to: United Swimming Clinics

United Swimming Clinics
P.O. Box 10074
Knoxville, TN 37939

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