Swim Team Registration

Parent/Guardian Name

Phone Number

Email

Parent/Guardian Name

Phone Number

Email

Swim Team Registration Cost

1 swimmer = $60
2 swimmers = $120
3+ swimmers = $150 maximum per family
Swim team registration fees will appear on your Valley bill.

Child's Name

Gender

Female
Male

Date of Birth (mm/dd/yy)

Child's Name

Gender

Female
Male

Date of Birth (mm/dd/yy)

Child's Name

Gender

Female
Male

Date of Birth (mm/dd/yy)

Child's Name

Gender

Female
Male

Date of Birth (mm/dd/yy)

Are there any health concerns the coaches should be aware of?

Yes
No

If yes, please describe. All information will be kept confidential.

We have Gators swim caps available for sale. Swim caps are optional and not required for swim team participation. Caps are made of silicone. Each cap costs $12. The cost will appear on your Valley bill.

Would you like to purchase a Valley Gators swim cap.

Yes
No

Quantity to Purchase

I understand that summer swim leagues involve parent/guardian participation. I agree to volunteer during at least three meets throughout the season.

I hereby 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 and directors of the Valley Gators Swim Team. I herby release Valley Swim and Tennis Club, the Valley Gators Swim Team, the Freestate Swim League, and their respective directors, employees, and volunteers from any and all liability 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

Valley Swim and Tennis Club

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