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    2019 Registration

    Dear Kingswood families,

    This year we will continue online registration for swim team.  Please be sure to input your child's LEGAL first and last name and middle initial on this form. Be aware that when you receive your registration confirmation, the registration number listed is NOT your membership number at the pool.  Please check at the front desk on your first visit to the pool to get your membership number. 

    Please contact me with any questions!

    Thanks, 

    Laura Broderick

    Parent/Guardian Information

    At least one parent/guardian registration is required.
    New accounts will be sent an email confirmation message with instructions to setup a password.

    At least one parent/guardian email address must be provided.
    Check the boxes to indicate which parent/guardians should receive team-wide emails.

    First Name * Last Name * Email Address *
    Required for login
    Primary Phone

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    Athlete Information

    Enter the information for each athlete being registered below. At least one Athlete registration is required.

    First Name * Preferred Name Middle Initial * Last Name * Gender * Birth Date *
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    Home Address

    Klam Buddies

    Would you like your child(ren) to participate in Klam Buddies in 2018? (This is completely optional and would only be for the home meets on 6/18, 6/25, and 7/16. Your child(ren) would be paired up with other teammates and provide a small snack/treat and encouragement for each other. More info available at the pool) *

    Pool Membership for a Family

    In order for children to swim on the swim team at Kingswood Pool, their family must be members in good standing and have paid the appropriate fees to join the pool for the specified summer (in this case, Memorial Day weekend through Labor Day weekend 2019). Outstanding balances from previous summers must be paid in full before joining.

    *
    Enter your initials to indicate acceptance: *
    VPSU Waiver

    RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT ("AGREEMENT") 

    IN CONSIDERATION of being permitted to participate in any way in any swimming activity ("Activity") at any time during the current calendar year I, for myself, my personal representatives, assigns, heirs, and next of kin: 

    1. ACKNOWLEDGE, agree and represent that I understand the nature of swimming activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity. 

    2. FULLY UNDERSTAND that: (a) swimming ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity. 

    3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the VPSU, its administrators, directors, agents, officers, members, volunteers, team members, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim. 

    I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

    MINOR RELEASE: AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF SWIMMING ACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE'S FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIMS AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.

    *
    Enter your initials to indicate acceptance: *
    Photo Release

    If you agree to having your family members' photos on our website and/or Facebook page, please check the box below. 

    Enter your initials to indicate acceptance:

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