SWIM TEAM Registration Form Spring 2012
Sundays 1:00
March 25, April 1, (not 8 & 15), April 22, 29, May 6, 13 (Final Meet: May 13)
Thursdays 6:45pm
March 29, April 5, 12, (not 19), April 26, May 3, 10 (Final Meet: May 13)
Final Meet for ALL swimmers is Sunday May 13, 2012 at 1pm!!
We were chosen as the #1 Aquatic program in state again this past year
For Kids age 7-17: on Sundays at 1:00 and/or on Thursday evenings at 6:45.
Print this out and mail or bring in by March 22, 2012
We DO take late registrations, but it makes it easier for us to plan if all are in by 3/22/12.
Swimmer's Name___________________________________________________ Date__________________________________
Swimmer's Age______ Parent email___________________________
Address__________________________________________Town___________________________Zip__________________
Phone number_____________________________________
Parent Name____________________________
Check off one below:
__$139 (non member's child) for BOTH days
__$129 (member's child) for BOTH days
__$109 (non member's child) for ONE day
__$99 (member's child) for ONE day
Check off below:
__just Thursdays at 6:45pm
__just Sundays at 1:00pm
__BOTH days
**Important notice to all SUNDAY participants: In the winter of 2011 and fall of 2010, we had a large number of participants, thus we added a Sunday noon session to make for smaller groups so all would enjoy. If we DO have a large number register again this session, we will add noon again on Sundays. Please check off your situation so that we can best accommodate all. If you do not hear from us by March 25th, just come at 1pm. If we have a sudden influx of registrations who - by error- don't register before the registration deadline of 3/22/12 and they come to sign up on 1st day, we may have to make adjustments by the second Sunday.
SUNDAY SWIMMERS, PLEASE CHECK OFF HERE:
If a noon Sunday ends up being added on, our family's situation is this:
__We PREFER noon if it ends up being offered OR
__We CAN ONLY do the Sunday 1pm OR
__We are flexible..we can do either time
(Note: sometimes families are in carpools and must remain at the same time as a friend. If that is so, please name the other child so that IF we add the 12:00, we can keep the carpoolers together. Other child's name(s)_____________________________)
Parent/Guardian MUST sign below.
In consideration of __________________________________(swimmer's name) and the visit to and/or the class participation in swim team and/or the visit to the health club Webb's Gym, Inc (dba Webb's Pro Fitness) and those people acting on the club's behalf are released from all claims of any nature whatsoever for injuries and consequential damages which may be sustained by the named arising out of participation in exercise swim regime at this facility.
Webb's Gym, Inc (dba Webb's Pro Fitness) will not be responsible for accident or property left in lockers, residence or elsewhere in the building or parking lot. Webb's Gym, Inc (dba Webb's Pro Fitness) is not repsonsible for travel to/from facility.
The undersigned will indemify Webb's Gym, Inc (dba Webb's Pro Fitness), its agents, and its owners and employees and save Webb's Gym, Inc owners, agents, employees harmless from and against any and all claims, actions, damages, liabilities, and expenses in connection with loss of life, personal injury, or damage to property arising from or out of any occurence reasonably related to the participation in this swim team.
______________________________________________ _____________
Parent/Legal Guardian Signature Date
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