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2019 Wembly Waves Swim Team Registration Form
Registration form must be submitted prior to the start of swim practice. Questions regarding registration can be sent to Jennifer Hayes at wheathayes@yahoo.com. Go Waves!
Family Name *
Your answer
1st Swimmer's First and Last Name *
Your answer
1st Swimmer's Gender *
1st Swimmer's Age (as of June 1, 2019) *
Your answer
1st Swimmer's Date of Birth *
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2nd Swimmer's First and Last Name
Your answer
2nd Swimmer's Gender
2nd Swimmer's Age (as of June 1, 2019)
Your answer
2nd Swimmer's Date of Birth
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3rd Swimmer's First and Last Name
Your answer
3rd Swimmer's Gender
3rd Swimmer's Age (as of June 1, 2019)
Your answer
3rd Swimmer's Date of Birth
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4th Swimmer's First and Last Name
Your answer
4th Swimmer's Gender
4th Swimmer's Age (as of June 1, 2019)
Your answer
4th Swimmer's Date of Birth
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Parent(s) or Guardian(s) Name(s) *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email(s) (email is the primary source of communication) *
Your answer
Address *
Your answer
In the event of emergency, I hereby authorize Wembly Swim Team coaches to seek medical attention for my above stated child(ren). In the event of a life threatening emergency, your child will be taken to the nearest available hospital. *
Doctor's Name and Phone Number *
Your answer
Preferred Hospital *
Your answer
Emergency Contact Name and Phone Number (other than parent/guardian) *
Your answer
As a parent/guardian, I agree to uphold the mission of Wembly Waves Swim Team, to promote the sport of swimming, encourage teamwork and individual achievement while fostering good sportsmanship and positive behavior and social interaction. I understand that the Wembly Waves Swim Team will not tolerate unsportsmanlike behavior, inappropriate language, bullying/teasing, disrespect to coaches, parents and/or other team members, bodily injury to others or damage to properly done by my child. *
I understand that if my child is repeatedly disciplined for one or more of the actions listed above at practices and/or meets, disciplinary action will be decided by the board and may include expulsion from the team with no refund. *
I understand that serious accidents may occur while my child participates in the Wembly Swim & racket Club Swim team program and that participation in such activity may result in serious personal injuries and/or property damage. Knowing the risks involved in such activities, I hereby agree to assume those risks, to release and hold harmless Wembly Swim & Racquet Club Swim team, its officers, agents and employees from any liability to me or my heirs or assigns for damages. *
I understand that Wembly Waves Swim Team relies solely on parental involvement to make meets run smoothly and that it is my responsibility to sign up to work one half of each meet. I also understand that if I have not signed up for a job by 6pm the day before the meet, a job will be assigned to me and given to me at the time of meet sign-ins. I agree that if I am unable to attend or fulfill my volunteer responsibility at any meet, I will find coverage in my place. If unable to find proper coverage, I will let the volunteer coordinator know at least 24 hours before the meet.
Payment is due at the time of registration. Registration is final. Refunds for withdrawal will be considered with a doctor’s note (any refund awarded will be prorated). *
I give Wembly swim team my permission to use my child’s name on the Wembly website, wembly.org and/or the Wembly swim team Facebook page (other than results of any kind). *
I give Wembly swim team my permission to use my child’s PICTURE on the Wembly website, wembly.org and/or the Wembly swim team Facebook page. *
I agree to pay the following. Due before May 21th, 2019. *
Parent or guardian electronic signature *
Your answer
Today's Date *
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