2020 Pinebrook Swim Team Sign Up
Email address *
Swimmer First Name *
Your answer
Swimmer Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age (as of June 1) *
Your answer
Sex *
Swim Team *
Swimmer T-shirt Size *
Parent's Name(s) *
Your answer
Home Phone
Your answer
Mom Cell Phone (may be used for texts):
Your answer
Dad Cell Phone (may be used for texts):
Your answer
Email Address 1 *
Your answer
Email Address 2:
Your answer
Email Address 3:
Your answer
I hereby give my permission for the above swimmer to participate in the Gaston Invitational Swim Association Program (Type your name and date below): *
Your answer
GISA Summer Swim League Zero Tolerance Policy (check each box after reading): *
Required
I agree to and will adhere to the GISA Summer Swim League Zero Tolerance Policy (Type your name and date below): *
Your answer
Payment
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 *
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.
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