Twin City Divers
 
 
 
Register
Training and Registration Fee Payments:
Pay to the order of "Twin City Divers" and mail to:

Twin City Divers
PO Box 13234
Mpls, MN 55414

Please note: There is a $10 late fee for registering after March 1st.

Forms
 The waiver and both medical forms must be submitted with payment at least one week prior to the start of the training session. Please be sure to print out all three forms.
The "New Member Booklet" contains information about registration, parking, facility, and training options.

Diver Info:
First Name:
Last Name:
Address:
Apt#:
City:
State:
Zip:
Gender: Female Male
Birth Date (mm/dd/yyyy):
Age:
Diver Home Phone:
Diver Cell Phone:
Diver E-mail:
Returning Diver Info
US Diver #
USD Password
Contact 1 Required
First Name:
Last Name:
Parent/Guardian:
Home Phone:
Cell Phone:
Work Phone:
E-mail:
Relation:
Contact 2 Optional
First Name:
Last Name:
Parent/Guardian:
Home Phone:
Cell Phone:
Work Phone:
E-mail:
Relation:
Emergency Contact Required
First Name
Last Name
Phone
Medical Required
Insurance Number:
Group Number:
Height (in.): Inches
Weight: Pounds
Doctor's Name:
Doctor's Phone:
Medical notes and concerns:
Registration
Session: Spring 08 - March 1st through May 31st
Level of Participation:

1x11&U Sunday ($200)
1x11&U Thursday ($200)
1x11&U Saturday ($200)
2x11&U Sunday/Thursday ($330)
2x11&U Sunday/Saturday ($330)
2x11&U Thursday/Saturday ($330)
3x11&U Sunday/Thursday/Saturday ($375)

12-13 - M/Th/Sat ($375)
14-15 - M/T/W/Sat ($425)
16-18 - M/T/W/Sat ($425)
High School Enrichment Sun/Th ($150/mo.)

Divers in 12-13, 14-15, or 16-18 please check the days you plan on attending so that we can plan our staffing accordingly.

Monday Tuesday Wednesday Thursday Saturday
Additional Requests or information:
I have read the club waiver and understand that I will need to sign it at my first lesson.
I understand that TCD will handle my AAU and USD registrations for me and I should not try to register for them separately.
I have read the club policies and understand that failure to pay by March 1st will result in a late fee and may result in an inability to participate in the first lesson.

You will receive the majority of club correspondence via e-mail unless you direct otherwise in the additional requests box above.

 © COPYRIGHT TWIN CITY DIVERS 2004