Swim Test Registration

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Contact Information

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31 Selection Time

Registrant *

Person creating registration

Email *

Phone

Address

Address Line 1

City

State

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Swim Test Selection – Swimmer 1

Person taking swim test *

First

Last

Please list each of the units you need your swim test report to go to:

Troop (add B or G to end as appropriate)

Pack

Crew

Ship

Swim Test Option *

BSA Swim Test
I would like to complete my Mile Swim in addition to the BSA Swim Test

Swim Test Date *

Swim Test Time April 12 *

Swim Test Time May 31 *

Mile Swim Time April 12 *

Mile Swim Time May 31 *

Would you like to add an additional swimmer? *

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Swim Test Selection – Swimmer 2

Person taking swim test *

First

Last

Please list each of the units you need your swim test report to go to:

Troop (add B or G to end as appropriate)

Pack

Crew

Ship

Swim Test Option *

BSA Swim Test
I would like to complete my Mile Swim in addition to the BSA Swim Test

Swim Test Date *

Swim Test Time April 12 *

Swim Test Time May 31 *

Mile Swim Time April 12 *

Mile Swim Time May 31 *

Would you like to add an additional swimmer? *

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Swim Test Selection – Swimmer 3

Person taking swim test *

First

Last

Please list each of the units you need your swim test report to go to:

Troop (add B or G to end as appropriate)

Pack

Crew

Ship

Swim Test Option *

BSA Swim Test
I would like to complete my Mile Swim in addition to the BSA Swim Test

Swim Test Date *

Swim Test Time April 12 *

Swim Test Time May 31 *

Mile Swim Time April 12 *

Mile Swim Time May 31 *

Would you like to add an additional swimmer? *

Save and Resume Later

Swim Test Selection – Swimmer 4

Person taking swim test *

First

Last

Please list each of the units you need your swim test report to go to:

Troop (add B or G to end as appropriate)

Pack

Crew

Ship

Swim Test Option *

BSA Swim Test
I would like to complete my Mile Swim in addition to the BSA Swim Test

Swim Test Date *

Swim Test Time April 12 *

Swim Test Time May 31 *

Mile Swim Time April 12 *

Mile Swim Time May 31 *

Would you like to add an additional swimmer? *

Save and Resume Later

Swim Test Selection – Swimmer 5

Person taking swim test *

First

Last

Please list each of the units you need your swim test report to go to:

Troop (add B or G to end as appropriate)

Pack

Crew

Ship

Swim Test Option *

BSA Swim Test
I would like to complete my Mile Swim in addition to the BSA Swim Test

Swim Test Date *

Swim Test Time April 12 *

Swim Test Time May 31 *

Mile Swim Time April 12 *

Mile Swim Time May 31 *

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