Summer Competitive Swim & Conditioning Registration
This program is an opportunity to stay in swimming shape this summer and/or to introduce newer/younger swimmers to the sport of competitive swimming! 
While being significantly less expen$ive and closer than other summer swim options, this is NOT a "learn to swim" program but is designed to introduce young athletes to the sport of competitive swimming.  Swimmers will develop and practice skills associated with competitive swimming and then demonstrate improvement through inter-squad time trial meets. 
If this is a good fit for you, I hope you will register and pass this flyer along to others who might be interested as well. Together let's build access to competitive swimming in our feeder pattern neighborhoods! 
GO PANTHERS! 

Coach G
Head Swim & Dive Coach
Fossil Ridge High School, KISD

Please fill out this form to register for the Summer Competitive Swim & Conditioning program. to be held at the iExplore Montessori Pool on 5350 Basswood Blvd. Fort Worth, TX  76137 on Mondays thru Thursday in the month of June at either 8 or 9 AM depending on age.  
Cost is $160.  Upon completion of registration, Coach G will contact you with payment procedures.  Incomplete registrations or no payments will not be allowed to participate.
Direct questions to:  Robert.Gopffarth@kellerisd.net or (817) 744-1821.
Email *
Athlete's Last Name? *
Athlete's First Name?
Athlete's gender? *
Date of birth?
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DD
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YYYY
Current School? *
Current Grade? 
(the grade you just finished, NOT the grade you are going in to in the Fall)
This camp is limited to 3rd through 11th graders.
 *
Have you ever swam competitively before? *
If yes, list previous experience and personal best swim times (if possible).  Include names of teams, groups, events...
If no, can you swim across the pool (approximately 25 yards) with your face in the water, without stopping? *
If you answered "no" to having ever swam competitively, what strokes do you know?
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I recognize this is NOT a learn to swim program.  
If I cannot swim at least one length of the pool I will either get a refund or can use my entry fee for lessons at the iExplore Montessori, iSwim program.

By typing my full name below I am signing that I agree with the above statement.
 *
Guardian 1 Full Name *
Guardian 1 relationship to the athlete. *
Guardian 1 email address
Guardian 1 mobile phone number *
Guardian 2 full name
Guardian 2 relationship to the athlete.
Guardian 2 email address
Primary Care Physician (Doctor's name and Phone #)
Guardian 2 mobile phone number
Emergency Contact? (Name, relationship and mobile #) *
I hereby grant permission for my child to participate in the Summer Competitive Swim & Conditioning Camp and I acknowledge that he/she is physically able to participate in camp activities. I release Keller Independent School District, Mr. G's Swim Camps, and employees from all claims due to injury or illness which may be sustained by my child at the Summer Competitive Swim & Conditioning Camp.

By adding my full name in the answer area below I am signing my agreement with the above waiver.
 *
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