Swim Team Registration

Concussion: Athletes
Concussion: Parents
Concussion: Agreement

ONLINE REGISTRATION

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Enter Your Electronic Signature *

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Choose Swimmer Level (see descriptions below - consult coach with questions) *

Silver I Group (Beginner) (Practice 4X per week, M-TH from 4:00-5:00 pm) Session FEE: $60 This group is recommended for new swim team members. Swimmers are encouraged to have completed Level 4 swim lessons. Remember, swim team is NOT swim lessons. Swimmers should be able to safely swim at least 1 length of the pool. Silver II Group (Intermediate) (Practice 4X per week, M – Th from 4:00 – 5:30 pm) Session FEE: $60. This group is for recommended for swimmers who have had a full season of swim team experience. Gold Group (Experienced) (Practice 4X per week, M – Th from 4:00 – 5:30 pm). This group is for experienced swimmers who demonstrate maturity and readiness for advanced training workouts. Session FEE: $60

Swimmer Name *

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Swimmer's Age *

Date of Birth *

Swimmer's Grade *

Parent/guardian name *

Phone Number *

Parent/swimmer email *

Address *

Emergency Contact Name (Other than above) *

Emergency Contact Phone *

Swimmer's Physician Name *

Physician Location *

Please list any health concerns coaches should be aware of: *

We (I) further knowingly and voluntarily waive any/all claims and forever release the Portage Youth Swim Team, its Board/Parent Members, Officers, Agents, Coaches, Sponsors, and Volunteers from any and all injuries sustained by our/my son/daughter, while participating, whether it be in practice session, in actual competition, or while being transported to either/or of the aforementioned. We (I) the undersigned, have adequate insurance and am/are willing to take full financial responsibility for any and all injuries sustained by our/my son/daughter participating, whether it be in a practice session or in an actual competition or while being transported to either/or of the fore mentioned. Our/my signature below will allow a coach to admit our/my son/daughter to a medical facility and/or to the care of a physician, if conditions warrant such action. *

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We (I) further knowingly and voluntarily waive any/all claims and forever release the Portage Youth Swim Team, its Board/Parent Members, Officers, Agents, Coaches, Sponsors, and Volunteers for any and all injuries sustained by our/my son/daughter, while participating, whether it be in practice session, in actual competition, or while being transported to either/or of the fore mentioned.

We (I) the undersigned, have adequate insurance and am/are willing to take full financial responsibility for any and all injuries sustained by our/my son/daughter participating, whether it be in a practice session or in an actual competition or while being transported to either/or of the fore mentioned.

Our/my signature below will allow a coach to admit our/my son/daughter to a medical facility and/or to the care of a physician, if conditions warrant such action.

If you have questions on the group your swimmer should practice with, please talk with a coach. Swimmers may move up to a new group during the next team session.

Meets: All swimmers are also encouraged to participate in meets held throughout the season. Meets will be announced and information for each meet sent prior to scheduled date of meet.

**NOTE FOR SILVER I GROUP – Swimmers should be prepared to learn competitive skills. It is recommended the child has a good base of swimming experience (participated in or completed swim lessons Level 4 or above). Participating on the swim team is NOT be a replacement for lessons if a swimmer needs continuing basic skill development.

Concussion: AthletesConcussion: ParentsConcussion: Agreement

ONLINE REGISTRATION

Concussion: Athletes
Concussion: Parents
Concussion: Agreement