Fall #2 SWIM CAMP 2025
I am excited to announce Fall Camp #2 2025 will train for 8 weeks, October 21-December 10th.

All trainings are held at Pleasanton Valley Club, 5014 Golden Road, Pleasanton, California. 

If you would like to take part, please complete registration for Fall Camp #2. All swimmers must be swim team ready or completed one Summer Swim Season.  Must be able to complete 25 yards of all 4 competitive strokes Free/Back/Breast/Fly

Competitions/Swim Meets will be offered.  Meets are completely optional and will include an added cost for swimmers/families.  Meets are not covered by registration fee.

Training: Monday- Thursday, 3 to 4 times per week between 3:50 to 8:00 pm
All portions of registration form and waiver must be completed, and payment received in order to be registered in Fall Swim Camp #2. 

Cost of Fall Swim #2 is:
$350 For Fall Camp #1 Swimmers
$450 New Swimmers 
No Full Refunds will be offered after Monday, October 20th, 2025.

If sending check, please make check payable to PVC. Cash also accepted. Please print swimmers name on payment.
Checks and Cash can be given directly to Coach Brett or mailed to: 4447 Bacon Court, Pleasanton, CA 94588.  

REMINDER: Once you have completed this registration, please turn in payment in order to be registered in Fall Swim Camp #2.

Thank you,
Coach Brett

                                       !!PLEASE FILL OUT THE FOLLOWING FORM FOR EACH SWIMMER!!   
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Last name of swimmer *
First name of swimmer   (ONE SWIMMER ONLY, PLEASE FILL OUT FORM FOR EACH SWIMMER) *
Birthdate *
MM
/
DD
/
YYYY
Age *
Was your child a part of a Summer Swim Team?
 *
If you marked yes, please share which summer swim team they participated in below.
Name & Cell Phone Number of Family Member #1 *
Email for Family Member #1 *
Name & Cell Phone Number of Family Member #2
Email for Family Member #2
Address *
Emergency contact name, relationship and cell number *
Insurance company, ID number, and phone number *
Physician name and number *
Dentist name and number *
Please list any and all conditions, illnesses or information, which the coach should be aware of (If none, please write "None") *
Please select which one pertains to this swimmer. *
I agree to the Dolphin Camps Safety Rules, healthy safety checks for my child(ren) and understand the importance of COVID- 19 Warning Signs. I, the undersigned parent or guardian of the above-referenced child(ren) hereby give my authorization and approval for his/her/their participation in any and all activities of the PVC Swim Camp 2025. I hereby absolve and release Pleasanton Valley Club (PVC), and all persons associated with the Club, of any responsibility or liability for any accident or injury of my child(ren), as a result of his/her/their participation in said activities I acknowledge the contagious nature ofCOVID-19 and voluntarily assume the risk that my family, including child(ren), and I may be exposed to or infected by COVID-19 at the pool and that such exposure or infection may result in serious illness. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my entire family, my child(ren), and myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I, my family, and my child(ren) may experience or incur in connection with my child(ren)'s attendance at PVC or participation for PVC Dolphins. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Pleasanton Valley Club, PVC Dolphins, PVC Coaches, and PVC Staff Members. In Case of emergency, I grant permission to Brett Rauscher and his staff members to initiate the first aid/emergency process to care for my child. I hereby give authorization for the approval for his/her/their participation in any and all activities of the PVC Swim Camp 2025 Program held at Pleasanton Valley Swim Club. Swimming is a physical activity and as will all physical activities injury is a possibility. PVC does not provide health insurance. *
I agree to the Dolphin Camps Safety Rules, healthy safety checks for my child(ren) and understand the importance of COVID- 19 Warning Signs. I, the undersigned parent or guardian of the above-referenced child(ren) hereby give my authorization and approval for his/her/their participation in any and all activities of the PVC Swim Camp 2025. I hereby absolve and release Pleasanton Valley Club(PVC), and all persons associated with the Club, of any responsibility or liability for any accident or injury of my child(ren), as a result of his/her/their participation in said activities I acknowledge the contagious nature ofCOVID-19 and voluntarily assume the risk that my family, including child(ren), and I may be exposed to or infected by COVID-19 at the pool and that such exposure or infection may result in serious illness. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my entire family, my child(ren), and myself(including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I, my family, and my child(ren) may experience or incur in connection with my child(ren)'s attendance at PVC or participation for PVC Dolphins. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Pleasanton Valley Club. *
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