• info@tobaccofreeleon.org
  • (850) 606-8175

SWAT Student Application

SWAT Student Application

2018-2019 SWAT
Registration Form

Please fill out this form completely and accurately to become an official member of a SWAT Club in Leon County.

Note: This form CANNOT be saved for completion at a later time.


Student Information


To change the year, click the section showing the Month / Year. Then, click on the year's section
It is highly recommended that all SWAT members provide a non-Leon Schools e-mail address.

Enter "(000) 000-0000" if student does not have one of these phone numbers

Please note: Messages will only be sent by SWAT Coordinator for permission forms/event reminders 1 week prior to deadlines and scheduled events.


Please check all that apply
If your school is not listed, select "County Chapter."



Parent/Guardian Information

Mother's Contact Information



Please note: Messages will only be sent by SWAT Coordinator for activity/event reminders 1 week prior to scheduled events.

Enter "(000) 000-0000" if parent does not have one of these phone numbers
Please indicate your preference in how we should contact you, if necessary:


Father's Contact Information



Please note: Messages will only be sent by SWAT Coordinator for activity/event reminders 1 week prior to scheduled events.

Enter "(000) 000-0000" if parent does not have one of these phone numbers
Please indicate your preference in how we should contact you, if necessary:


Please note: Messages will only be sent by SWAT Coordinator for activity/event reminders 1 week prior to scheduled events.



Special Considerations