Winterset Sharks Registration Form

Gray Eagle Swim Team Registration Form
Welcome to the Gray Eagle Swim Team registration site! Registration Fees are as follows:

For Gray Eagle Swim Club Members - $135.00 for each child (fee INCLUDES T-shirt, cap, the invitational and the cost of Meet Central per swimmer). The fee for a 3rd child and any additional children in the family will be $105.00 each. Add 3.25% convenience fee for credit card purchases.

For Gray Eagle Swim Club Non-Members - $165.00 for each child (fee INCLUDES T-shirt, cap, the invitational and the cost of Meet Central per swimmer). The fee for a 3rd child and any additional children in the family will be $125.00 each. Add 3.25% convenience fee for credit card purchases.

Offline registration is available by submitting the paper form from the website and a check.

Practice times are as follows.

1st practice: 8:30-9:30AM for ages 11-14

2nd practice: 9:30-10:30AM for ages 7-10

3rd practice: 10:30-11AM for all 6 & under swimmers
Waivers and Consents
I have read the Team Handbook and Liability Waiver and agree to ALL the terms. *

I agree I do not agree
I have read the Volunteer Policy and agree to ALL the terms. *

I agree to volunteer 3 times and give a $135 DEPOSIT ONLY check I do not want to volunteer and I will pay $135
I have read the COVID-19 Waiver agree to ALL the terms. *

I agree I do not agree
Signature

Clear
Family last name *
Mother's first name (include last name if different) *
Father's first name (include last name if different) *
Family's address (Street, City, State, Zip) *
Primary phone number for Mom *
Secondary phone number for Dad
Primary email address (best email to use as a team contact) *
Secondary email address
Emergency contact (other than parents) *
Emergency contact person's phone number *
Gray Eagle Swim Club Member? Yes or No? *

1st Swimmer's Information
First swimmer's last name *
First swimmer's first name *
First swimmer's birthday *

Month Day Year
Age of first swimmer on June 1st, 2021 *
First swimmer's current grade *
First swimmer's gender *

Female Male
First swimmer's tshirt size *
Medical alerts-please provide any medical information that is pertinent to being on the swim team
Would you like to register another swimmer? *

Yes No

2nd Swimmer's Information
Second swimmer's last name *
Second swimmer's first name *
Second swimmer's birthdate *

Month Day Year
Age of second swimmer on June 1st, 2021 *
Second swimmer's current grade *
Second swimmer's gender *

Female Male
Second swimmer's t-shirt size *
Medical alerts--please provide any medical information that is pertinent to being on the swim team
Would you like to register another swimmer? *

Yes No

3rd Swimmer's Information
Third swimmer's last name *
Third swimmer's first name *
Third swimmer's birthdate *

Month Day Year
Age of third swimmer on June 1st 2021 *
Third swimmer's current grade *
Third swimmer's gender *

Female Male
Third swimmer's tshirt size *
Medical alerts: Please provide any medical information that is pertienent to being on the swim team.
Would you like to register another swimmer? *

Yes No

4th Swimmer's Information
Fourth swimmer's last name *
Fourth swimmer's first name *
Fourth swimmer's birthdate *

Month Day Year
Age of fourth swimmer on June 1st, 2021 *
Current grade of fourth swimmer *
Fourth swimmer's gender *

Female Male
Fourth swimmer's tshirt size *
Medical alerts: Please provide any medical information that is pertienent to being on the swim team.

Payment Information
Notes for payment:

You must click the appropriate number of MEMBER OR NON-MEMBER registrations

Do not forget to click SUBMIT at the end of the form. You will see a confirmation page AND receive a confirmation email after submission.

Registration Payment

Swim Club MEMBER Registration $ 135.00

Convenience Fee of 3.25% will be added for this purchase.

Number of Swimmers

NON-MEMBER Swimmer Registration $ 165.00

Convenience Fee of 3.25% will be added for this purchase.

Number of Swimmers

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Credit Card

Should be Empty:

Gray Eagle Swim Team Registration Form

Waivers and Consents

1st Swimmer's Information

2nd Swimmer's Information

3rd Swimmer's Information

4th Swimmer's Information

Payment Information

Credit Card