Sign up for the Seahorse Diving Summer Sessions
 Munster Diving Club Summer Sessions are a great option for beginners interested in exploring the sport of diving.  No diving experience required but must be able to swim.  Recommended for ages 10 through high school.  
We are excited to have you participate. Payments may be made online or by cash or check before the diver’s first event or practice.  If you have any questions, please contact Kelly at (248) 982-6367 or at munsterseahorsedivingclub@gmail.com. All sessions and practices will take place at the Jon Jepsen Pool inside Munster High School.  Enter through Door I.  Please bring 1-2 towels and a water bottle. Thank you!” 
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Email *
Please select the session of your choice. Divers will not be allowed to enter the pool without completed registration and payment by the time of their first practice or event. Online payment is available after completing this registration form. *
First and Last Name of your Diver *
Birth Date of your Diver *
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Parent or Guardian Name *
Parent or Guardian's Contact Information - Phone and Email
Divers Contact Information (If they have their own phone and email)
Diving Experience (please state number of years of experience. If none please put N/A). *
Gymnastics Experience (please state any experience. If none please put N/A). *
Other Experience
Waiver, Release and Indemnification Agreement  PLEASE READ:  I am the parent or guardian of a minor child, ___________________________, who will be participating with the Munster Seahorse Diving Club. I am fully aware that my Child’s participation in the Club diving clinic, practice and competition is totally voluntary. In consideration of the School’s agreement to permit my son(s) or daughter(s) to participate in the aforementioned Club practice, the receipt and sufficiency in which consideration is hereby acknowledged, I agree as follows: 1, I, individually, and on behalf of my minor child and our respective heirs, successors, assigns and personal representatives, herby release, acquit and forever discharge the School, and their employees, agents, servants, officers, trustees and representatives (in their official and individual capacities) from any and all liability whatsoever for any and all damages, losses of action, damage, costs, expense and attorney’s fees, which arise out of, during or in connection with my child’s participation in the aforementioned Club, including but not limited to any damages, losses, or injuries to persons or property or both, which may be sustained or suffered by my child or any person in connection with my child’s association with, or participation in, activities at, sponsored by, or arising out of his or her travel to or from the School. 2, I, individually, and on behalf of my minor child and our respective heirs, successors, assigns and personal representatives, hereby agree to indemnify, defend and hold harmless the School, and their employees, agents, servants, officers, trustees and representatives (in their official and individual capacities) from any and all liability, loss or damage they or any of them incur or sustain as a result of any claims, damages, actions, causes of action judgments, costs or expenses, including attorney’s fees, which result from arise out of relate to my child’s participation in the aforementioned Club or arising out of this or her travel to or from the School. 3, I agree that this Waiver, Release and Indemnification Agreement is intended to be as broad and inclusive as permitted by the laws of State of Indiana, and if any portion thereof is held invalid, it is agreed that the balance hereof shall, notwithstanding, continue in full legal force and effect. 4, I hereby acknowledge and accept that there are certain risks arising from diving and related activities, including bodily injury, paralysis, coma, drowning and death that could result from my child’s (or children’s) participation in the aforementioned Club at the School. I have knowingly and voluntarily decided to assume the risks of these inherent dangers in consideration of the School’s permission to allow my minor child (or children) to participate in the aforementioned Club. 5, I represent and warrant that my child is covered by a policy of comprehensive health and accident insurance which provides coverage for injuries which he/she may sustain as part of his/her participation in the Club. By my signature below, I certify that I have confirmed that my health insurance policy will adequately cover my child while participating the Club; and I hereby release and discharge the School of all responsibility and liability for any injuries, illnesses, medical bills, charges or similar expense my child incurs while participating in the Club. 6, In signing this Waiver, Release and Indemnification Agreement, I hereby acknowledge and represent that I have read this entire document, that I understand its term and provision, that I understand it affects my legal rights and the rights of my child.  This is a legal and binding agreement. *
Required
Please state the following information: Insurance Co. Information *
Please state the following:  Family Doctor's Information including phone number. *
Residency example: Munster, Highland, etc. *
Please share any other information about your diver(s) you would like us to know - allergies, pre existing health conditions, etc.  If none, please state N/A. *
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