COMMUNITY SWIM ASSOCIATION REGISTRATION |
SWIMMER REGISTRATION / RELEASE FORM
PLEASE PRINT or TYPE Swimmer Name__________________________________________________________ Address _________________________________________________________________ City ___________________________ Zip____________ Phone_____________________ In consideration of allowing my child to participate in activities organized by the Community Swim Association, I hereby, for my child, myself, my heirs, executors, administrators, and assigns, and anyone entitled to act on my behalf, or on behalf of my child, release and discharge Community Swim Association, plus all sponsors, their representatives, and successors, promoters, managers, directors, officials, agents, employees, and volunteers of Community Swim Association events from any and all claims of injury or liabilities of any kind, including any illness, injury, or damage suffered by my child as a result of participation in or traveling to or from such events. I know that swimming and participation in these activities is potentially hazardous, that my child should not enter any Community Swim Association event unless he or she is medically able and properly trained, and I, as parent or guardian, hereby assume all risks associated with participation in Community Swim Association events including, but not limited to, falls, contact with other participants, the effects of weather, and any and all other risks known or associated with swimming, all such risks being known and appreciated by me. I hereby certify that my child is in good physical condition and good health and able to participate in Community Swim Association events. Parent/Guardian Signature: _______________________________Date______________ Parent/Guardian (Print Name):_______________________________________________ Please Note:
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