Mount Joy Lions 2023 Swim Team Registration
We are gearing up for another summer together and are looking forward to a fantastic season! We will once again be practicing at the Elizabethtown College pool and hosting our home dual meets at the college this year.


 This Form contains:
• Registration form
• Parent code of conduct
• Swimmer code of conduct
• Waiver/Release of Liability
• Photo Release for social media


Registration Payment can be mailed to Julie Houck, 621 School Lane, Mount Joy PA 17552.  

Registration will be open for returning swimmers on Sunday, March 5 and then open for new swimmers on Sunday, March 19th.

There will be a late fee of $10 per swimmer if registration is not received by Monday May 1st.

Questions?  Contact Mount Joy Swim Team: mjswimteam@gmail.com

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Email *
Family Name *
First Swimmer Name: *
First Swimmer DOB *
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First Swimmer Age as of June 1st *
First Swimmer Male/Female *
First Swimmer T-shirt Size *
Second Swimmer Name:
Second Swimmer DOB
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Second Swimmer Age as of June 1st
Second Swimmer Male/Female
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Second Swimmer T-shirt Size
Third Swimmer Name:
Third Swimmer DOB
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Third Swimmer Age as of June 1st
Third Swimmer Male/Female
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Third Swimmer T-shirt Size
Fourth Swimmer Name:
Fourth Swimmer DOB
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Fourth Swimmer Age as of June 1st
Fourth Swimmer Male/Female
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Fourth Swimmer T-shirt Size
Parent/Guardian 1 Name *
Parent/Guardian 1 Cell# *
Parent/Guardian 1 Work # *
Parent/Guardian 1 Email Address: *
Parent/Guardian 2 Name
Parent/Guardian 2 Cell#
Parent/Guardian 2 Work #
Parent/Guardian 2 Email Address:
Home Address: *
Home Phone # *
School District *
Medical Needs - Please indicate which swimmer and what their needs are: *
Emergency Contact Name *
Emergency Contact Phone # *
Per LSSL By Laws: “A swimmer may only compete for one summer swim league during any one season.”  Swimmers are permitted to swim and compete with USA swim teams. Is swimmer competing with any other teams during the 2023 summer swim season? *
Please indicate what Swimmer and what team they are competing with.
Cost per Swimmer is $125. Make Checks payable to Mount Joy Swim Team and send to Julie Houck, 621 School Lane, Mount Joy PA 17552 *
Additional Costs ($10 Per Swimmer if paid after 5/1/23)
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Buyout - $50 Buyout or must sell 67 Meatsticks to meet buyout.  If you don't sell 67 you will be asked to pay the difference.  75 cents a stick *
Mount Joy Swim Team Parent Code of Conduct As a parent of a swimmer and member of the Mount Joy Swim Team, I will abide by the following guidelines: ● Practice teamwork with all parents, swimmers and coaches by supporting the values of the Sportsmanship, Loyalty, Commitment and Hard Work. ● As a parent, I will not coach or instruct the team or any swimmer or interfere with coaches at any time (practice, meets, invitationals).  I WILL LET THE COACHES COACH. ● Demonstrate good sportsmanship by conducting myself in a manner that earns the respect of my child, other swimmers, parents, officials and the coaches at meets and practices. ● Always Maintain self-control.  Know my role. Swimmers – Swim. Coaches – Coach. Officials – Officiate. Parents – Parent. ● As a parent, I understand the criticizing, name calling, use of abusive language or gestures directed toward the coaches, officials, opposing team, and/or any participating swimmer will not be permitted or tolerated. ● Enjoy involvement with the Mount Joy Swim Team by supporting the swimmers, coaches and other parents with positive communication and actions. ● During competitions, questions or concerns regarding decisions made by meet officials are directed to a member of our coaching staff.  Parents address officials via the coaching staff only. ● I will support the coaches if my child(ren) violate their code of conduct and will discuss their actions with the coaches. Sanctions.  Should I conduct myself in such a way that brings discredit or discord to the Mount Joy Swim Team, I voluntarily subject myself to disciplinary action.  The Mount Joy Swim Team maintains the right to terminate any membership with/without cause in the interest of our vision, mission and objectives.   *
Required
Mount Joy Swim Team Swimmer Code of Conduct As a member of the Mount Joy Swim Team, I will abide by the following guidelines: ● I will uphold the value of sportsmanship.  In doing so I will not act disrespectful towards any coach, official, swimmer from the Mount Joy Swim Team or another team, or any other individual involved with any aspect of the Mount Joy Swim Team. ● Teamwork is the foundation of the Mount Joy Swim Team.  I understand that my actions will either enhance or take away from the environment of teamwork at practice and at meets.  I will enhance this environment by encouraging my teammates and maintaining a positive attitude.  If I don’t have something positive to say, I won’t say anything at all. ● Destruction of pool property or property of teams we visit will not be tolerated under any circumstance. ● I will participate fully in the meet warm-ups.  I understand that if I will be missing warm-ups for any reason, I need to inform one of the coaches ahead of time.  If I do miss warm-ups without informing one of the coaches, I may be scratched from the meet. ● Practice is an essential part of becoming a better swimmer.  I understand the more regular my attendance the better swimmer I will become.  I will fully participate in and dry-land activities. ● If I arrive early for practice, I will wait quietly until it is time for my practice to start.  I will not disrupt the practice that is occurring while I wait. ● I understand that the coaching staff has the final say on dual meet lineups.  While I may ask to swim a specific every, that is not a guarantee that I will swim that event.  I will not refuse to swim any event. ● I will be a responsible goodwill ambassador between the sport of swimming and the public, as well as represent the Mount Joy Swim Team in an appropriate manner.  ● I will respect the coaches and their coaching style.  I will not talk back, refuse to practice, nor have a bad attitude or otherwise disrespect the coaches. Sanctions: Should I conduct myself in such a way that brings discredit or discord to the Mount Joy Swim Team, I voluntarily subject myself to disciplinary action.  Mount Joy Swim Team maintains the right to terminate any membership with/without cause in the interest of our vision, mission, and objectives.
MOUNT JOY LIONS SWIM TEAMWAIVER/RELEASE OF LIABILITYPLEASE READ CAREFULLY BEFORE SIGNING.  THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.I, ______________________________________, the enrolled participant(s) as listed on the MOUNT JOY LIONS SWIM REGRISTRATION FORM and/or the parent/guardian of the participant(s) agree and understand that swimming is a HAZARDOUS activity.  I recognize that there are risks inherent in the sport of swimming, including but not limited to, paralyzing injuries and death. The participant(s) hereby agrees to participate in the Mount Joy Lions Swim Club program and hereby agrees to indemnify and hold harmless Mount Joy Lions Swim Club, its coaches, officers, directors, agents, board and employees against any liability resulting from any injury that may occur to the participant(s) while participating in this program.  The participant(s) also agrees to indemnify Mount Joy Lions Swim Club for any damages incurred arising from any claims, demand, action or cause of action by the participant(s). The participant(s) authorize any representative of Mount Joy Lions Swim Club to have the participant(s) treated in any medical emergency during their participation in this program.  Further, the participant(s) and/or parent/guardian agree to pay all costs associated with medical care and transportation for the participant(s). I have noted on this form any medical/health problems of which the staff should be aware.  I have also provided any essential medical insurance information. I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE. *
Required
Insurance Information: Policy Name *
Insurance Information: Policy Holder *
Insurance Group ID and Policy Number *
I hereby grant Mount Joy Lions Swim Team, and all assigns, licensees, successors in interest, legal representatives, employees, consultants, and those acting with permission or authority of the aforementioned parties, the absolute, irrevocable and unrestricted right to use photographs, videos likenesses and audio recordings (including without limitation all originals, negatives, prints and transparencies or any duplicates or reproductions of the foregoing) that have been or will be taken of me (collectively, “Images”), in which I may be included with others, to copyright the same, in the name of Mount Joy Lions Swim Team or otherwise; to use, re-use, publish and republish the same in whole or in part, individually or in conjunction with other photographs and videos, and in conjunction with any printed matter, in any and all media now and hereafter known, and for any purpose whatsoever; and to use my name in connection herewith.   By typing Parents 1 name I agree to the Terms of the Photo Release.   *
A copy of your responses will be emailed to the address you provided.
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