Summer Registration  2010

Swimmer's LAST Name:_______________________First_______________Middle__________

Date of Birth: mo/day/yr ____/____/______  current age______

Parent's Name:  Mom_____________________________________________

Dad____________________________________________________________

Cell phone(Mom/Dad)______________________ Home phone: ______________________

email:________________________________________(will only be used for team business)

snail mail: __________________________________________________________________

USASwimming registration is required for all Team members. 2010 annual registration is $67.00 ($46.00 for summer). 
HOT Team fee is $75.00 per month .(June/July)
Multiple swimmers discount applies as follows: 2nd swimmer deducts $10 from monthly fee, 3rd swimmer deducts $20 & 4th swimmer deducts $30

First time swimmers must provide a copy of their Birth Certificate for USAS registration.

HOT Swimming reserves the right to refuse service for untimely payments, non-payment, failure of swimmer or parent to observe the rules of conduct of the team or engagement in conduct materially and seriously prejudicial to the interests and purpose of the team.  I hereby acknowledge and accept financial obligation and requirements of membership as stated above.  I am agreeing to pay USAS registration fee, HOT swim team monthly fees and meet fees on tiime.  I also agree to allow the team to include pictures of my swimmer(s) on the team's website and in team literature.  This commitment includes the requirement to pay for the entire month, regardless of the extent of my swimmer's participation.


_____________________________________                       __________________
Parent's signature                                                                                date

Please fill out and attach the standard Medical Release Form (below) for each swimmer individually.  Make all checks payable to "HOT" Swim Team.

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Medical Release Form

Name of Swimmer:___________________________________

I certify that, to the best of my knowledge and belief, ____________________ is in good physical condition and has no condition which would impair participation in this swimming program.  In case of injury, I hereby give HOT Swim Team and it's coaching staff permission to act on my behalf in seeking medical treatment from any licensed physician, hospital or clinic for my child in the event that such treatment is deemed necessary.  I give permission to those administering medical/dental treatment to do so using medically accepted methods deemed necessary.  I absolve HOT Swim Team, USA Swimming, South Texas Swimming, their respective coaches, officers, directors, representatives and/or employees from all liability while acting on my befalf in the case of an emergency.

Signature______________________________Doctor's Name:________________

Additional comments regarding medical history, required medicine, allergies, asthma, etc. which may be needed in rendering medical treatment:
________________________________________________________________________________________
______________________________________________________