2021 Indian Lake Swim Team Registration Forms
Welcome to ILST Warriors! We are excited to have you and your swimmer on our team this summer! Please be sure to complete this form in its entirety for EACH swimmer you wish to register. At the end of this form, you will find a link to either pay online or you may choose to mail your payment directly to our team rep. Thank you!
Email address *
I understand that the 2021 NSL (Nashville Swim League) swim season may be canceled do to the COVID-19 pandemic. If this was to occur, the 2021 ILFSTC Swim Team season will be implemented independently by the ILFSTC swim team reps and coaches. *
I understand and agree that I will NOT hold any ILFSTC member, coach, team rep or participant liable for any complications that may arise due to the COVID-19 and or any other harm/illness during this time. I understand that participation this summer is at mine and my families own risk. *
Swimmer's LAST Name *
Swimmer's FIRST Name *
Swimmers Gender *
Swimmers DOB *
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Age group of swimmer as of June 1st, 2021: **minimum age 4 years + able to swim 25 yards unassisted (coaches discretion as to whether child is eligible for Indian Lake Swim Team). *
Please select ONE of the following options: FULL Roster Swimmer = $165.00 Includes inter-squad meets and/or NSL swim meets, weekly practices, team t-shirt, and awards. PARTIAL Roster Swimmer = $85 **Must be in Middle or High School & legal in all 4 strokes, CAN ONLY ATTEND ONE PRACTICE PER WEEK** Includes inter-squad meets and/or NSL swim meets, team t-shirt, and awards. *
Swimmers FREE Team T-Shirt Size (Sponsored by Morris Orthodontics) *
Parent/Guardian LAST Name *
Parent/Guardian FIRST Name *
Address *
Primary Phone Number *
Insurance Carrier *
Insurance Policy/ID Number *
Insurance Phone Number *
Known Allergies for your swimmer *
Other Medical Conditions or Physical Limitations. *
Emergency Contact Full Name (not parent/guardian) *
Emergency Contact Phone Number *
I understand that our family MUST be a member of ILFSTC and the membership must be in good standing in order for my child to participate on the swim team. *
MEDICAL RELEASE WAIVER: I certify that I am the parent or legal guardian for my child. I hereby give my permission for any supervisor, coach or other team administrator associated with the Indian Lake Warriors to seek and give appropriate medical attention for our child in the event of accident, injury, illness. I will be responsible for any and all costs associated with any necessary medical attention and/or treatment. *
I hereby waive, release and forever discharge Indian Lake Warriors and associated supervisor, coach or other team administrator from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Indian Lake Warriors activities, whether or not damages or loss is due to negligence. I hereby acknowledge that my child is physically fit and capable of participation in all swim team activities. *
LIABILITY RELEASE: By registering my child with the Indian Lake Warriors Swim Team, I agree to participate (or allow my child and family members to participate) in the Indian Lake Warriors Swim Team, and hereby release Indian Lake Warriors Swim Team, its' bond holders, board of directors, officers, agents, coaches, swim team reps (Megan Henley & Tandy Driver), and employees from liability for any injury that might occur to myself (or to my child and family members) while participating in the Indian Lake Warriors Swim Team program, including travel to and from training sessions, swim meets or other scheduled team activities. I agree to indemnify and hold harmless the above mentioned organizations and/or individuals, their agents and/or employees, against any and all liability for personal injury, including injuries resulting in death to me, my child(ren) and/or other family members, or damage to my property, the property to my child(ren) and/or other family members, or both, while I (or my child or family members) participating in the Indian Lake Warriors Swim Team program. *
PHOTO RELEASE: I grant to Indian Lake Warriors Swim Team, Indian Lake Forest Swim and Tennis Club, its representatives and employees (ILST) the right to take photographs of me and my child(ren) in connection with activities related to the Indian Lake Swim Team and its events. I further authorize ILST, its assigns and transferees the right to copyright, use and publish the same in print and/or electronically. I agree that ILST may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content. *
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