Valley Swim and Tennis Club
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Valley Swim and Tennis Club
Parent/Guardian Name
*
Phone Number
*
Email
*
Parent/Guardian Name
Phone Number
Email
Child’s Name
*
Gender
*
Female
Male
Child’s Birthdate
*
Child’s Name
Gender
Female
Male
Child’s Birthdate
Child’s Name
Gender
Female
Male
Child’s Birthdate
Child’s Name
Gender
Female
Male
Child’s Birthdate
Are there any health concerns we should be aware of?
*
Yes
No
If yes, please describe. All information will be kept confidential.
Please select the correct cost based on the number of swimmers in your family.
$45 (1 child)
$80 (2 children)
$115 (3 children)
$150 (4 children)
Swim team cost will appear on your Valley bill.
I understand that summer swim leagues involve parent/guardian participation. I agree to volunteer at meets throughout the season.
I hearby give my consent for my child/ren to participate on the Valley Gators Swim Team and to attend practices and meets as a member of this team. I understand that my child/ren must comply with all rules, regulations, directions, and instructions issued by Valley Swim and Tennis Club and by the coaches of the Valley Gators Swim Team. I hearby release Valley Swim and Tennis Club and their respective directors, employees, and volunteers from any and all liabilty for any and all injuries that my child/ren may sustain while participating in any activity (including practices, swim meets, and associated events) as a member of the Valley Gators Swim Team.
Date/Time
*
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