2020 Pinebrook Swim Team Sign Up
Swimmer First Name
Swimmer Last Name
Date of Birth
Age (as of June 1)
7 & Up
6 & Under
Swimmer T-shirt Size
Mom Cell Phone (may be used for texts):
Dad Cell Phone (may be used for texts):
Email Address 1
Email Address 2:
Email Address 3:
I hereby give my permission for the above swimmer to participate in the Gaston Invitational Swim Association Program (Type your name and date below):
GISA Summer Swim League Zero Tolerance Policy (check each box after reading):
Parents will not address another team, coach, swimmer or parent.
Parents and swimmers will not taunt opposing teams.
Parents will show good sportsmanship at all times.
Parents, coaches or swimmers involved in inappropriate behavior will be subject to removal.
Parents, coaches and swimmers will refrain from inappropriate language.
All problems (challenges) will be directed to the meet referee and all referee decisions are final.
Touching or verbally abusing any official, volunteer or swimmer can lead to criminal charges.
I agree to and will adhere to the GISA Summer Swim League Zero Tolerance Policy (Type your name and date below):
For members, the cost of swim team is $75 per swimmer. There is a $5 discount per swimmer, for families with three or more swimmers.
The non-member cost of swim team is $125 per swimmer, with no multiple swimmer discount.
Please make checks payable to Pinebrook Swim Club and bring to the first swim team practice.
Swimmer Membership Status
Pinebrook Swim Club Member ($75)
Swim Team Membership ($125) - Includes practice, meets, team party only
Member 3 or more swimmers ($70 each)
NOTE: No child will be allowed to practice until they are registered and payment is received.
SWIM TEAM MEMBER- WITH NON-PINEBROOK MEMBERSHIP- Swimmers with this type of membership will be allowed to swim during practice and meet times only. Other members of their family without a Family Pinebrook Membership WILL NOT be allowed to swim at any other time. Due to Lifeguard Capacity and Insurance Regulations, our Pinebrook Board has a ZERO tolerance policy around this specific type of membership.
Send me a copy of my responses.
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