2011-2012 DBS Registration Form 2012 USA Swimming Form Please print the above FORMS, fill them out and return them to the Pool Coordinator along with a copy of your BIRTH CERTIFICATE. Mail payment for the registration fee, first season coaching fees to: Daytona Beach Swimming PO BOX 291968 Port Orange, FL 32129-1968 Important: Please mail ALL payments to address above (or make payment through website). DO NOT bring payments to the pool coordinators. Swimming Fees Annual Team Membership $75 Included in your billing is a once a year charge that includes, USA swimming registration $57 (which provides insurance for your swimmer and our organization), a team T-shirt and team cap. This fee must be paid by December for your swimmer to be registered with USA swimming for the 2012 season and allowed to participate with the team. Coaching Fees and Policies Effective 3/1/2012 |

| For information about the team please contact our Brian Venables, Team Manager dbsbusmgr@gmail.com |