Championship Clinic 
Please use this form to register for the Cincinnati Marlins Starts and Turns clinic on Monday January 19th at Keating Natatorium (St X High School). This is a free clinic but will be limited to the first 50 registrations. Please complete one form per swimmer.
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Email *
Swimmer's Name *
Swimmer's Current Grade *
Swimmer's Current School *
Parent's Name *
Parent's Email *
Emergency Contact  Name and Phone  # *
Please indicate you have read the waiver by initially below:
  I hereby waive, release and forever discharge Cincinnati Marlins and associated supervisor, coach or other team administrator from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Cincinnati Marlins activities, whether or not damages or loss is due to negligence. I hereby acknowledge that my children is (are) physically fit and capable of participation in all Swim Team activities. I agree to indemnify and hold harmless the above mentioned organizations and/or individuals, their agents and/or employees, against any and all liability for personal injury, including injuries resulting in death to me, my child(ren) and/or other family members, or damage to my property, the property to my child(ren) and/or other family members, or both, while I (or my child(ren) or family members) participating in a Cincinnati Marlins program/event. I certify that I am the parent or legal guardian of my child(ren) and hereby give my permission for the Cincinnati Marlins to use the occasional photo of my child(ren) and/or family members, for promotional purposes in advertising material, on the Cincinnati Marlins web page and/or social media sites. I certify that I am the parent or legal guardian for my child(ren). I hereby give my permission for any supervisor, coach or other team administrator associated with the Cincinnati Marlins to seek and give appropriate medical attention for our child(ren) in the event of accident, injury, illness. In case treatment is needed, I hereby give Cincinnati Marlins and its coaching/administrative staff permission to act on my behalf in seeking medical treatment from any licensed physician, hospital or clinic for my child in the event that such treatment is deemed necessary. I will be responsible for any and all costs associated with any necessary medical attention and/or treatment.   
*
A copy of your responses will be emailed to the address you provided.
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