Family Swim Club Application
Account Information
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home phone *
Your answer
Cell phone *
Your answer
Family Information
Have you previously been a member of our Family Swim Club? *
Do any of your children attend Beaver Summer Camp? *
Answer yes if they have been campers during any of the previous 3 years.
Name of Parent/Guardian 1 *
Your answer
Name of Parent/Guardian 2
Your answer
Name of Child 1
Your answer
Name of Child 2
Your answer
Name of Child 3
Your answer
Name of Child 4
Your answer
Required Signatures
Please type your name in each of the two boxes below to acknowledge Beaver's Registration Policies and Liability Waiver.
Registration Policies...please sign below *
Registration Agreement • I understand that once a membership application has been accepted by Beaver Summer Camp, our deposit is non-refundable. All monies become nonrefundable if you have not notified the camp office in writing of changes in your registration by June 1, 2018. • I agree to pay the balance of membership fee on or before April 1, 2018. All registrations that occur after April 1st will be charged in full at the time of registration.
Your answer
Liability Waiver...please sign below *
Liability Waiver I agree that I and my family will abide by the regulations of Beaver Summer Camp Family Swim Club. For myself and my family, I HEREBY RELEASE BEAVER AND ALL OF ITS OFFICERS, AGENTS AND EMPLOYEES FROM ALL LIABILITY OR CLAIMS OF ANY KIND WHICH MAY ARISE IN ANY WAY IN CONNECTION WITH OUR PARTICIPATION IN THE FAMILY SWIM CLUB, including but not limited to any claims my family or I might have arising from personal injury or any other harm to me, members of my family, or others caused by any act or omission of Beaver or any of its officers, agents or employees, or condition of pools, grounds or other facilities.
Your answer
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