2018 Shockwaves Swim Team Registration Form
Print, fill out and bring to school or scan and email. To or fax 337 528-7299/phone 337 527-0950
Leadership*Pride* Humility*Self-Confidence*Fun
WE OFFER A RECREATIONAL SUMMER SWIM TEAM FOR SWIMSATIONAL KIDSAGES 5-18 WHO ATTEND SWIMSATIONAL LESSONS OR SQUADS. WE WILL HAVE MINIUM OF 3 MEETS AND 1 CHAMPIONSHIP MEET
ALL PARTICIPANTS MUST HAVE COPY OF BIRTH CERTIFICATE FOR FILES SUBMITTED WITH THIS FORM
SKILL REQUIREMENTS:
SWIM: 25 yards any stroke without stopping, tolerate wearing swim cap, use goggles, (YOU MAY JOIN BY PERFORMING 40 FT (ONE LENGTH OF OUR POOL). Children 5-6 YRS MAY PERFORM ROLLOVER BREATHING IF NECESSARY instead of side breathing or MAY USE A backstroke as their freestyle stroke. Age is determined by how old they are on June 1 of swim year.
AGE: Swimmers must be at least 5 and no older than 18 as of June 1. USA swimmers welcome, but you must declare that you are USA swimmer and you will swim up one year in age group.
WE DO NOT FUND RAISE!
FEES $265 if paid by JAN 31, 2018
FEES $275 if paid by FEB 28, 2018
FEES $300 if paid by MAR 31 OR LATER and no payment options other than in full
*There are no additional monthly squad fees if enrolled regular weekly swim classes through July 31, 2018.
**There is additional discounted monthly fee of $40 for twice weekly squad fees if swimmer is NOT enrolled in
regular weekly swim class through July 31, 2018.
Payment options: Cash/ MC/Visa/Discover as one time payment in full.or set up on auto pay for 1st of each mo
#1- DICOUNTED if paid in full by dates specified see FEES above
#2 $150 by Jan 31 and $30 per month Feb 1 through July 1, 2018 (total of $330)
#3 $150 by Feb 28 and $40 per month Mar 1 through July 1, 2018 (total of $350)
Squad practices do NOT TEACH strokes, IT works on technique, form, endurance! Sign up for weekly swim classes if you need to learn/correct stroke fundamentals.
As we said, Team does not make money, it just pays salaries and necessary expenses for you. Here are charges if you paid just basics and all the practice squad fees instead of one team registration fee.
New suit and cap ($65-75)
T shirt ($15)
One squad practice a week Jan 9 through FEB 28, 2018. Twosquad practices per week Mar 1-July 24, 2018($380)
End of season awards banquet/pool party ($20)
All coach’s fee for 4 meets ($30)
City Fees ($45)
ALL SWIMMERS RECEIVE TROPHIES and medals ($15 value) at end of season banquet in addition to weekly awards.
The earlier you register, the more you save.
Paying in full by deadline saves money over payment plan options.
PRACTICE SUITS:
Boys: Racing jammers or trunks. Girls: One piece suit, hair in ponytail or braided back out of face.We must wear caps in swim meets and goggles.
RACE ATTIRE: Furnished. We will size by March 1.
MEET VOLUNTEERPOSITIONS REQUIRED BY ALL PARENTS: DO NOT sign up if you are not willing to volunteer!
The city is very strict on this. You may be asked to do the following. Every parent is OBLIGEDby the Lake Charles summer league to be ready to volunteer every meet, it’s for your kids, not us. The following positions are usually needed WE WILL SHOW YOU WHAT TO DO IT’S EASY. Get ready, volunteers are needed forever in swimming, high school or USA!
___Score Keeper ___Score averager (computer room) _____Timer _____Stroke/Turn Judge___Ready Benches ___Starter ____Runner ____Age Group Pre-Line up (assist coach)___Ribbon Writer ___Heat Ribbon during host meet ___Placing judges
Bring your lawn chairs and snacks for your child. If you have a tent, let us know. We may set up tables for food and snacks for kids and parents. Bring healthy, non-peanut foods, some kids share a lot and some have peanut allergies every year. Non carbonated drinks, fruits, suggested.
BE SURE WE HAVE YOUR CORRECT EMAIL AS THIS IS OUR PRIMARY CONTACT FOR ALL TEAM MATTERS.
By signing below, I acknowledge that I will agree to abide by the Shockwaves of Swimsational Recreational Guidelines and that one adult member shall be available to volunteer at meets IF needed.
SIGNATURE:______DATE______
Please check all boxes and sign at bottom
Swimsational Swim School Shockwaves of Swimsational Recreational Team Form
Students Name:______Address______
City______State____Zip______Phone______
Assumption of RiskAssumption of Risk
Participation in physical activities can involve motion, rotation, height, excitability. Water activities are considered to be a" hazardous activity" and there are inherent risks in water activities The undersigned and the participant(s) voluntarily assume any and all risks of loss, damage of the participant(s) and their personal property by them while on or upon school or practice pool or swim meet pool premises described. The city of Lake Charles Recreational League is deemed to carry insurance in excess of any policies that you may have in place for your registered swimmer during the swim season 2018. Legal guardian and or parent agrees that they have read thoroughly and understands completely, the terms of Registration, Release of Liability and all contents of this page and signs it (electronic signature accepted) with his or her own free will.
b) That the person registering certifies that he or she is the authorized to sign this legal and binding contract and is signing (or electronically signing) either for themselves or as Legal Guardian and is in fact, the true and legal guardian of the participant.
Check this box to agree to terms stated above.
I’ve read the above and agree.
Release of Liability
Release of Liability
In consideration of allowing the previously declared participants to begin participation in Swimsational Swim School llc, Swim Lessons, camps or clinics, or swim team practices or swim meets, or any event held at Swimsational Swim School llc, and property of said School, the undersigned, for themselves, and/or being the legal and acting guardian of participants and on behalf of the participant, release and hold harmless Swimsational Swim School llc and its owners, employees, coaches, instructors, office personnel, directors, agents, other guests, lessee of any property used from any liability, claims, demands and causes of any action whatsoever, arising out of or related to any loss, damage, or injury or injury resulting in death, broken or lost teeth, paralyzing injuries, scrapes, bruises, broken bones, sprains, ligament, tendon, muscle and or nerve damage, cuts, emotional duress, head or neck injuries and heart disorders from any accident or illness sustained by the participant and/or the undersigned while in or upon the premises upon which Swimsational Swim Schoo,llc is operating said activities. You also agree to fully disclose ANY medical history to Swimsational Swim School llc in the medical area of the registration form.
WE STRONGLY URGE ALL PARTICIPANTS TO RECEIVE A PHYSICAL FROM THEIR DOCTOR BEFORE PARTICIPATING IN SWIMMING ACTIVITIES TO ENSURE THEY ARE IN GOOD PHYSICAL AND EMOTIONAL HEALTH FOR SUCH ACTIVITY.
This Release is good for a period of 12 months from this date.
Check this box to agree to terms stated above.
I've read the above and agree.
Medical Emergencies
Medical Emergencies
The undersigned gives permission for Swimsational Swim School llcits owners, officers, employees, agents to obtain medical treatment for the participant(s) in the event they are unable to reach any parent or guardian. The undersigned also shall be responsible for any financial debt incurred by said action. Undersigned also give permission for SwimsationalSwimSchoolits owners, officers, employees, agents to give emergency medical treatment to the participant until parent or guardian can be reached through reasonable efforts. the undersigned agrees to keep Swimsational Swim School llc informed of any address, email changes or changes to any and all phone numbers, current emails and emergency contacts. Be it known that no owners, officers, employees, agents, instructors or guards are medical professionals and assume no liability for their attempts to provide emergency treatment.
Check this box to agree to terms stated above.
**I also acknowledge that my child/families may be photographed for use in web or media advertising for Swimsational
I’ve read the above and agree.
Parent/legal guardian signature______Date______
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SHOCKWAVES RECREATION SWIM TEAM
REGISTRATION 2018 SWIM SEASON
MUST PROVIDE COPY OF BIRTH CERTIFICATES
SWIMMER LAST/FIRST NAME______
SWIMMER DATE OF BIRTH____/____/____
WERE YOU REGISERED AS A “USA SWIMMER” IN 2017-18 Y____ N_____
MOTHERS LAST/FIRST NAME______
FATHERS LAST/FIRST NAME______
ADDRESS______
EMAIL______CELL______
PRIMARY CONTACT FOR ALL SWIM TEAM ANNOUNCEMENTS AND INFORMATION WILL BE SENT VIA text
Practice season starts Jan 9-July 24, 2018.
1st and 2nd child regular price, $20 discount for 3rdand 4thchild each See Fees page 1
Swimmer Swimmer
Child Fulll Name M/F B/Date T-Shirt Suit Option Option Option Enroll Cash/
Size incl Sizeincl #1 #2 #3 Date Check
__/__/__ / $__/__/__ / $
__/__/__ / $
EXTRA SHIRT FEES FROM BELOW / $
TOTAL REGISTRATION FEES / $
1ST
2ND
3rd
ORDER FORM AND SIZES BELOW IS FOR EXTRA SHIRTS ONLY. SWIMMERS SHIRT PLEASE LIST SIZE IN FORM ABOVE
Extra t-shirtYouth Sizes YS 6-8 YM 10-12 YL 14-16 AS AM AL AXL ($15)
AXXL($18) AXXXL ($20) AXXXXL ($24)
Size / Amount EACH / Total$
$
$
TOTAL EXTRA SHIRT / $ (ADD IN ABOVE)
PLEASE MAKE CHECKS PAYABLE TO SWIMSATIONAL SWIM SCHOOL, LLC.
TOTAL FEES______CHECK OR CASH ONLY PLEASE...... TY!
By signing below, I acknowledge that I will agree to abide by the SHOCKWAVES OF SWIMSATIONAL Guidelines and that
one adult member per family shall be available to volunteer at meets IF needed.
SIGNATURE:______DATE______
WE WILL PROVIDE YOU WITH FORMS TO FILL FROM LAKE CHARLES CITY THAT ARE REQUIRED ALSO AS WE RECEIVE THEM
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