Daleview Pool

901 Daleview Drive, Silver Spring, MD 20901 -- 301 434 9555

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Registration
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* This Field is required Information for: Passphrase: : Enter the passphrase you received from the administrator of this site. If you haven´t got a passphrase yet, please contact the administrator of this site.
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* This Field is required Information for: First Name : Please enter your real first name.
* This Field is required Information for: Last Name : Please enter your real last name.
* This Field is required Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
* This Field is required Information for: Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required Information for: Verify Password : Please enter a valid password. No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
Information for: Associate Member : <p>If you'd like to include an Associate Member (for example, an au pair, visiting relative, or nanny) in your membership, please enter his/her name here. <strong>NOTE: Associate member requests are subject to board approval and cost $75.</strong></p>
Information for: Emergency Contact : <p>This should be someone not on the membership who can be contacted in event of an emergency.</p>
Information for: Emergency Contact Phone : <p>Remember that we need to be able to reach someone at this number in the event of an emergency -- this should probably be a cell phone.</p>
Information for: Medical Information : <p>Allergies, etc. Please specify which person(s) on your membership are affected by any information entered here.</p>
Information for: Child 01 DOB : <p>Date of birth of this child</p>
Information for: Swim Team? : <p>Check this box if your child is -- or may be -- interested in the Daleview swim team or pre-team</p>
Information for: Swim Team? : <p>Check this box if your child is -- or may be -- interested in the Daleview swim team or pre-team</p>
Information for: Swim Team? : <p>Check this box if your child is -- or may be -- interested in the Daleview swim team or pre-team</p>
Information for: Swim Team? : <p>Check this box if this child is - or may be - interested in the Daleview swim team or pre-team</p>
 
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Register Now For the 2010 Swim Season At Daleview

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