Indian Hills Swim Club Registration 2015 Family __________________________ (SWIMMER’S LAST NAME) 1. Registration $105 First child/Family (Registration includes team membership, concessions donation and coaches salaries) $50 each additional child (These fees include AAU insurance) 2. Family Swim Team Membership $501 Only if you do not live in the neighborhood and are not an associate member. (One charge per family) 3. Meet responsibilities (3 sessions per family per summer) Sign up for your three jobs. We cannot run our meets without parent help. It is your responsibility to sign up and show up or make arrangements to cover your job at any meet if you are unable to do so. If you miss a session, your swimmer(s) will not be entered in another meet until you have arranged to make up the assignment. First Name NonPool Member fee MI Last Name Birth date Gender Registration Membership $105 $50 $50 $50 $50 $ _________ $_________ Total $ __________ 1: The family fee does not give you access to the IHGE pool during regular pool hours unless the swim team is having a function. If you are interested in becoming an associate member of our pool, please contact Melissa Bowen at [email protected] or 410-903-8612. FILL OUT BACK PAGE ! Parents Names ________________________________________________ Address ______________________________________________________ _____________________________________________________________ Home Phone __________________________________________________ Cell Phone Mother _____________________________________________ Email Address ______________________________________ Cell Phone Father ______________________________________________ Email Address ______________________________________ Waiver of Liability The undersigned hereby gives permission for my child/children to participate in the Swim Club program sponsored by the Indian Hills Community Association. It is understood that Indian Hills Swim Club is a nonprofit volunteer organization, which sponsors this program as a community service and does not accept or assume responsibility for any expenses or damages resulting from injury to participants or spectators which are sustained in conjunction with or incidental to an Indian Hills Swim Club sanctioned activity. In consideration of my family being allowed to participate in the Swim Club’s activities, the undersigned HEREBY EXPRESSLY AGREES to waive any and all claims against, and to hold harmless and exempt from any liability the Indian Hills Community Association, its officers, directors, and agents and the Indian Hills Swim Club, its officer, directors, coaches or any other person affiliated with the Indian Hills Swim Club for any and all injuries, losses, or damages sustained by me or any members of my family from whatever causes while attending or participating in Indian Hills Swim Club activities, including but not limited to practices and swim meets. Signature: _______________________________________________________ Date: _____________________
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