Darley Dragons Swim Team 2019 Registration Form
Please fill out all sections for your swimmer/swimmers. If you have a non-swimmer please put an * next to their name below. Thank you!
Email address *
Swimmer #1 Name, Birthdate, Age as of 6/1/19 *
Your answer
Swimmer #2 Name, Birthdate, Age as of 6/1/19
Your answer
Swimmer #3 Name, Birthdate, Age as of 6/1/19
Your answer
Swimmer #4 Name, Birthdate, Age as of 6/1/19
Your answer
Swimmer #5 Name, Birthdate, Age as of 6/1/19
Your answer
Home Address *
Your answer
Cell Numbers (to receive text messages from team, list as many as you'd like, please include your swimmer's number if they will be getting themselves to/from practices and meets) *
Your answer
Parents' or Guardians' Names *
Your answer
Emergency Contact Name and relationship to swimmer (can list more than 1 if you'd like) *
Your answer
Emergency Contact Phone Number *
Your answer
Your family must volunteer at every swim meet your swimmer attends. We are a small team and need EVERY family to help out. *
Required
I give my permission for the above mentioned children to participate on the Darley Swim Team. I will not hold Darley Swim Club liable for any injury sustained as a result of this participation. I also give my permission for emergency medical care for the above mentioned child(ren). *
Required
All swimmers will be paired with buddies. Older kids will help younger kids during meets. Please note that this means helping younger kids get to the starting blocks for their races. All swimmers will be encouraged to make signs or cards for their buddies for every meet. Small gifts, such as candy or snacks, are nice but not required.
Choose the appropriate amount below: *
Please Pay the amount you checked above via the Paypal Link below. You MUST return to this page to click submit after you pay. Thank you!!
http://paypal.me/darleyswimclub
Please note that when using a linked credit card Paypal will automatically add a small fee, there is no fee for using a linked bank account. Our account name is listed as Julie Monaghan, Treasurer of Darley Swim Club.
A copy of your responses will be emailed to the address you provided.
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