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  • 1 registration form per family

  • Registration Form

    Thanks so much for choosing Northshore Swim! Please fill out this electronic registration form and mail/drop off your payment to confirm your reservation. If you have any questions or concerns, please contact us at 985-626-9456 or gitte@northshoreswim.com.
  • Parent Information

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  • Swimmer Information

    Enter all participating swimmers in the same text box
  • Choose a Session

  • Visit northshoreswim.com for session dates and times.

  • To help streamline the process, contact Northshore Swim to confirm availability before booking.

    Phone: 985-626-9456

    E-mail: gitte@northshoreswim.com

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    • 2024 Registration 
    • 2025 & 2026 Registration 
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  • Release and Waiver of Liability Form

  • Northshore Swim- 985-626-9456, 690 Albert St, Mandeville, LA 70448 Release and Waiver of Liability and Indemnity Agreement. Please read carefully before signing the registration form.

    In consideration of being permitted to participate in any way in the program indicated below and/or being permitted to enter for any purpose any restricted area (herein defined as any area wherein admittance to the general public is prohibited) the parent(s) and/or legal guardian(s) of the minor participant named below agree:

    1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the below activity or event, he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate. I understand and agree that, if at any time, I feel anything to be UNSAFE, I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.

    2. I/We fully understand and acknowledge that: (a) There are risks and dangers associated with participation in the below events and activities which could result in bodily injury, partial and/or total disability, paralysis, and death. (b) The social and economic lasses and/or damages, which could result from these risks and dangers described above, could be severe. (c) These risks and dangers may be caused by the action, inaction, or negligence of the participant of the action, inaction, or negligence of others, including, but not limited to, the releasees named below. (d) there may be other risks not known to us or are not reasonably foreseeable at this time.

    3. I/We accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis, or death, however, caused and whether caused in whole or in part by the negligence of the releasees named below.

    4. I/We HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE the facility used by the participant, including its owners, managers, promoters, lessees of premises used to conduct the event or program, premises and event inspectors, underwriters, consultants, and others who give recommendations, directions, or instructions to engage in risk evaluation or loss control activities regarding the facility or events held at such a facility and each of them, their directors, officers, agents, employees, all for the purposes herein referred to as “releasee”... FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs, and next to kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES, AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO; THE DEATH OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN THE WHOLE OR IN PART BY OF THE RELEASEE OR OTHERWISE.

    5. I/WE HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.

    6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

    7. On behalf of the participant and individually, the undersigned partner(s) and/or legal guardians for the minor participant execute this Waiver and Release. If, despite this release, the participant makes a claim against any of the Releasees, the parent(s) and/or legal guardian(s) will reimburse the releasee for any money which they have paid to the participant, or on his behalf, and hold them harmless.

    8. I can use pictures and videos of your child on social media.

  • I HAVE READ AND UNDERSTAND THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

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  • Payment Page

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  • Payments must be made at the time of registration!

    Your spot is not confirmed until payment is received!

    Each student will be charged a $30 registration fee once per calendar year.

     

  • Check should include:

    1. Parent's name that is under the reservation
    2. Session number
    3. Time slot
  • Please mail or drop off your payment to:

    Northshore Swim

    690 Albert St.

    Mandeville, LA 70448

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