HUNT MEADOW SWIM TEAM REGISTRATION FORM 2008

FAMILY NAME__________________________

MOTHER’s FIRST NAME ____________________/FATHER’s FIRST NAME _______________

ADDRESS__________________________________________

PHONE NUMBERS: HOME___________________________  

WORK-MOM ________________________      WORK-DAD _________________________

CELL-MOM _________________________       CELL-DAD  _________________________      

*E-MAIL ADDRESS_____________________________________

*ALL COMMUNICATION WILL BE THROUGH E-MAIL

                                                      CHILD’s                                               

            NAME                                     AGE as of                    BIRTH DATE              Year-Round Swimmer

(Name child is known by)                     JUNE 1, 2008              (m/d/year)                    (w/whom?)

________________                   __________           ___________         _______      

________________                   __________           ___________         _______      

________________                   __________           ___________         _______      

________________                   __________           ___________         _______      

Please list any medical conditions of which we should be aware:  _____________________

__________________________________________________________________________

EMERGENCY INFORMATION:

In case of emergency, illness or accident to the above listed child/ children, the lifeguard, coach, or assistant will call you at ____________________

If you are unreachable, list a second person and telephone: _____________________________.

I would like my child/children (as listed above) to participate on the Hunt Meadow Swim Team for 2008-swim season.  It is understood that my child/children will abide by the rules and regulations of the Hunt Meadow Swim Team, Inc.  The Hunt Meadow Homeowners Association is not responsible for loss, theft and damage to personal property of team members and all team members participate at their own risk.  It is also understood that all team members are required to purchase liability insurance from U.S. Swimming in order to swim in the Greater Annapolis Swim League.  No child will be permitted to swim without this insurance. Year-round swimmers (ASC or Navy) are exempt from purchasing this insurance as they are already covered under the same insurance program.

The COACH will be in charge at all times.

Signature of Parent/ Guardian:___________________________      Date_______________ 

I (We) prefer to volunteer as: Check All That Apply

___ Timer    ____ Concessions     ____ Starter                   ___Ribbon Writer     ___ Kid Finder                ____ Stroke/Turn Judge             ____ Wherever needed    

Payment (Circle one) $45.00 (1 Child) $70.00 (2 Children) $90.00 (3 Children) $110.00 (4 Children) __________           

Insurance ($29.00 per non-year-round swimmer)___________

$10.00 Donation toward concessions ___________

Total________________

Tentative Vacation Schedule

Family Name: ___________________________________________________________

Directions: Please mark the days in which swimmers will be unable to participate.  If the days only apply to certain swimmers, please note that on the appropriate days. 

May/June

July

Wednesdays are the rain dates for Saturday meets.  Teams: Old South; Mears; Heritage; Admiral Heights; Downs; Hunt Meadow