Lower Macungie Lazers Summer Swim Team - (Wescosville, PA)

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2025 Online Lazers Registration Form! (Form 1 of 2)

* Swimmer's Family Last Name:

* Swimmer's First Name:

* Swimmer's Last name:

* Email Address #1:

Email Address #2:

Email Address #3:

* Phone Number #1:

Phone Number #2:

Phone Number #3:

* Street Address (Number + Street Name):

* City (Macungie):

State (PA):

Zip/Postal Code:

* Swimmer's Gender:

Male

Female

* Swimmer's Birthdate:

* Swimmer's Age as of 5/31/2025:

* Swimmer's Shirt Size:

* Parent/Guardian #1 First Name:

* Please ENTER Parent Last Name.:

Parent/Guardian #2 First Name:

Parent's Last name:

* LONG Course: Our team continues to support swimmers who would also like to participate in long course with their club team.:

* Lazers Practice Expectations: Swimmers practicing long course that will be entering 8th grade or lower are expected to attend 2 lazers practices per week to be eligible to compete in meets.:

Yes I understand the practice expectations.

N/A my swimmer in not participating in long course.

* Please list your club team and practice group if participating in long course. Enter N/A if not participating in long course.:

* indicates required fields