Swim Team – Flourtown Swim Club

Parental Contact Information

Parent First Name *

Parent Last Name *

Email Address *

Phone Number *

Swim Team Fees

The first swimmer is $60. Second swimmer is an additional $50. All other additions past two swimmers is $40.

How many swimmers are you registering?

Competitive and Pre-Competitive Definitions

The Competitive Program will be geared towards each swimmer’s experience and ability, emphasizing stroke technique, endurance, and speed. Morning and evening practices offered during the season. Participation in swim meets is expected!
The Pre-Competitive Program will be designed for those who can swim one lap in deep water confidently (any stroke). (A pre-competitive evaluation will be held in the beginning of the season to determine if the participant is ready.) The program will focus on technique, not endurance.
The coaches reserve the right to place a participant into either the competitive or preAcompetitive program.

Swimmer Registration

First Name *

Last Name *

Date of Birth *

Do any of the swimmers have any medical conditions such as asthma, seizure disorder, etc.? *

Please identify the swimmer and elaborate on the condition: *

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Liability

Liability Waiver *

I understand the Team/Club cannot be held responsible for any injuries to it’s members and agree that each member will provide for, and pay the cost of his/her own medical care. I also certify that my child(ren) participating in this activity is in proper physical condition for this activity. In case of emergency I give permission to contact the nearest medical care available in order to apply such medical services as are necessary for the well being of my child(ren). This permission includes the authority to transport my child to a place where such medical care is available.

Billing Information

Please enter billing info as it appears on your credit card

First Name

Last Name

Address

City

Zip

State

Payment

Total for Swim Team Registration $

Credit Card

Signature *

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