BNSC SWIMMER REGISTRATION
Congratulations on your decision to join our family! Complete this form to start your 2 Week FREE TRIAL and get connected with all that BNSC has to offer. If you are not contacted by a BNSC representative within 48 hours, please contact our Head Coach Bob Loy directly at bnsc.coachbob@gmail.com OR 309-660-1378.
  • Swimmer Information

  • Enter only if different than First Name
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  • 1st Guardian Information

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    Home phone number is required by USA swimming to register your swimmer. Please enter a number that you want them to use.
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  • This email address will be used for billing.
  • 2nd Guardian Information

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  • Medical Information

  • Please include someone NOT listed on this form, such as a Grandparent, neighbor or good family friend.
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  • Are you currently registered with Illinois Swimming? Memberships are required and will be billed a nonrefundable $68 Illinois Swimming membership fee.
  • BNSC regularly updates a parent directory, so families can reach each other. This directory is posted password protected on our website. I give permission for my information to be shared in the directory
  • Occasionally, the opportunity will arise that photos may be taken of your child at Swimming Activities. These photos would be used for website, Facebook, local publications and etc. I give permission for photos of my child to be taken and used for the above stated purposes.
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