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Check Number:________ Amount: ___________ Treasurer:_________ TR: _____
Virginia Beach Swim League
Oceana Man-O-War Swim Team
2015 Season
Sponsor Name:_____________________________________
Address:_________________________________________
(Street)
__________________________________________________
(City)
(State)
(Zip)
Telephone: (H)_________________________ (C) ________________________
Email: __________________________________________________
Family Swim Participants:
Name: ____________________ Age: ____ DOB:__________ Gender: _______
Suit Size:____________ T-Shirt size:________________
Name:______________________ Age:_______ DOB_________ Gender:______
Suit Size:______ T-Shirt Size: __________
Name :_____________________ Age: ________ DOB:_________ Gender:____
Suit Size:___________ T-Shirt size:__________
Name:____________________ Age:_____ DOB:________ Gender:______
Suit Size:________ T-Shirt Size__________
PARENTAL CONSENT:
I give permission for my child/children to participate in the
2015 Virginia Beach Swim League as a member of the
Oceana Man-O-War Swim Team. I will not hold the
Virginia Beach Swim League, its officers and directors, the
Naval Air Station Oceana Commander or representatives,
or the Oceana Man-O-War Swim Team, its Affiliated
League Representative, Meet Director, Club Coordinator,
Treasurer/Secretary, or Coaches responsible in the case of
an accident or injury as a result of participation. I give my
permission for the Oceana Man O War Swim Team to post
pictures of my child(ren) on the team website.
I understand that Oceana Man-O-War Swim Team is
run by volunteers and I will Volunteer at least 3 times
this season at meets/team events.
You have until May 18th to get a full refund.
Parent/Guardian Signature:_____________________
Date:________________