Swim Team Registration

Parent/Guardian Name

Phone Number

Email

Parent/Guardian Name

Phone Number

Email

Swim Team Registration Cost

1 swimmer = $65
2 swimmers = $130
3+ swimmers per family = $150 maximum per family
*There is no cost for swimmers who are 14-18 years old by June 1, 2025.
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.

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

Valley Gators shirts are available to order until May 26 at 11:59 PM. All designs/colors are available in youth and adult sizes. The shirts will be delivered in June. If you choose to order shirts, please be sure to select the design/color and size for each shirt you are ordering. The cost will appear on your Valley bill.

Would you like to purchase a Valley Gators shirt?

Yes
No

Shirt 1

Shirt 1 Design/Color

Shirt 1 Size

Shirt 2

Shirt 2 Design/Color

Shirt 2 Size

Shirt 3

Shirt 3 Design/Color

Shirt 3 Size

Shirt 4

Shirt 4 Design/Color

Shirt 4 Size

I understand that summer swim leagues involve parent/guardian participation. I agree to volunteer during at least three swim 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 Country Club and by the coaches and directors of the Valley Gators Swim Team. I herby release Valley Country 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 Country Club

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