Parker Pool Riptide Swim Team Registration Form 2019
Please fill out the form below to sign up to become a member of the Parker Pool Riptide Swim Team for the Summer of 2019! All participants must be at least 5 years old and be able to swim the length of the pool (25 meters) to be eligible for the team. Parker Pool Riptide is a developmental program for younger or first time competitive swimmers.

Registration Fees are $150. This includes swim team cap, team shirt. We do offer a $10 discount to siblings that want to participate as well.

Head Coach: Ashleigh Thompson

*Practice times TBA (We are trying to coordinate times with swim lesson times. Morning and evening!)

Email address *
Swimmer's Name *
Your answer
Swimmer's Birthday (Swimmer must be at least 5 years old) *
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Parent/Guardian Name(s) *
Your answer
Parent/Guardian(s) Contact Information *
Your answer
T-Shirt Size *
Your answer
Can your swimmer swim the length of the pool? (25 meters) *
Required
I understand the inherent risk of injury involved in participation in this sports program and verify that my child is medically fit to participate. I give my permission to the supervisors of this program to take the proper steps in case my child is in need of emergency medical attention. I also release the sponsoring groups and their agents from any and all claims arising from this child's participation in this activity. *
Required
I agree that my swimmer will follow all rules set down by the coach and Parker Pool management for safety purposes or they will be removed from the team and will not be eligible for any refund of team fees. *
Required
I grant the right to Parker Pool Management to take videos of me and parties to which I am a legal guardian of to use such video for any lawful purpose, including publicity, illustration, advertising, social media and web content. Participant or Parent/Guardian of the Participant(s) understands that photos and video are occasionally taken for promotional and marketing purposes. *
Required
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