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  • I. Athlete Information

  • ATHLETE NAME:

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  • II. Parent/Guardian Information

  • PARENT/GUARDIAN 1:

  • PARENT/GUARDIAN 2 (if applicable):

  • EMERGENCY CONTACT 1:

  • EMERGENCY CONTACT 2:

  • III. Emergency Medical Release

  • In case of emergency, I understand that every effort will be made to contact me, the parents/guardians of the swimmer. If I cannot be reached, I hereby authorize emergency care for my child during participation in The Children’s Aid Stingray Swim Team program if treatment is deemed necessary for injury or illness. I hereby give permission to the attending physician to hospitalize and/or secure proper treatment for my child. I understand that I am financially responsible for any expense for medical care incurred on my child’s behalf. I hereby release The Children’s Aid Stingrays Swim Team, the Children’s Aid, and its employees from any responsibilities for injuries incurred during my child’s participation in The Children’s Aid Stingrays Swim Team.

    In the event of an emergency, failure to connect with a parent/or guardian will result in the contact of the persons provided as emergency contacts.

  • IV. Agreement

  • The undersigned parent and The CA (Children’s Aid) Stingrays Swim Team agree as follows:

    1. Team/Meet/Late Fees

    (A)  As a member of The CA Stingrays, the parent or legal guardian agrees to pay the dues for the swimmer throughout the season including: a mandatory registration fee at the start of the swim year or on the first of each month and all event entry fees.

    (B)  An optional annual USA Swimming requirement fee is due at registration. (Insurance and access to usaswimming.org- not apart of the registration fee)

    (C)  Entry Fees for USA Swimming/Invitational meets are due by the deadline listed on schedule and meet information.

    (D)  Opt-in deadlines must be met via opt-in protocol only. Failure to opt-in to a meet prior to opt-in deadline will result in the athlete not being entered into his/her events. If entry fees aren’t received by entry fee deadline the athlete will be scratched from all events. Text messages/emails and verbal commitments do not count as an opt-in. Opt-in must be initiated through our online opt-in system provided in Opt-in & Meet Information schedule.

    (E)  If registration dues or uniform orders are not received within the due dates, the swimmer shall be suspended from further participation in all Stingrays swim meets (including USA meets) and practices.

    2. Physical/Medical Consent & Liability

    (A)  The CA Stingrays swim team assumes no legal liability for the physical condition of participating swimmers. A valid physical/medical release form signed by the swimmer’s physician must be returned to The Stingrays Swim Team. Swimmers failing to submit their physical/medical release forms will not be allowed to practice OR participate in any swim meets until the forms are on file.

    (B)  You agree, as parent/legal guardian of the athlete listed in the registration form, to be solely responsible for damages to property or person caused by the actions, inactions, vandalism, or willful misconduct of your athlete.

    3. Attendance/Lateness & Behavior

    (A)  Attendance to 90% of all Stingray practices is required. Consistent training is necessary to achieve full potential and demonstrate improvement. Missing more than 5 practices a month will result in termination of the athlete’s roster spot. Doctor’s notes/school schedules should be presented to the coaching staff ahead of time to excuse any absences and tardiness to practice or swim meets.

    (B)  The parent should be fully aware of the time that each practice/meet event concludes. There is no tolerance for tardiness on the behalf of a guardian picking up their child. Appropriate consequences will be apprehended due to tardiness on the parent/guardians’ behalf starting with a 1st warning then moving onto late fees.

    (C)  Coaches have the right to remove any individual from practice and/or a swim meet due to misbehavior. Interruptions dueto misbehavior shall not be tolerated: not listening to instructions, horseplay, talking back and/or not doing as instructed. If an individual is removed from practice, they will not be allowed to return until the parents have contacted the coaches about the situation.

    (D)  Use of audio or visual recording devices (including cellphones) are not allowed in changing areas, rest rooms, locker rooms or any pool deck. Any recorded material in any team setting (locker rooms, deck, spectator area) used inappropriately and uploaded to any social media will result in immediate suspension.

  • V. Authorization

  • I hereby give consent for my child to participate with The Children’s Aid Stingrays Swim Team, in consideration of being permitted to participate, travel and compete with the team. I also give the club authorization to apply for United States Swimming membership for my child.

    I hereby grant permission to The CA Stingrays Swim Team, The Children’s Aid or any other media outlet authorized by The Children’s Aid to photograph and/or interview my child. It is my understanding that this photograph and/or interview, or portions thereof, will be used for public view. I agree to participate in these projects without financial remuneration, and I understand that this releases the media outlets and photographer/interviewer from any future claims, as well as from any liability arising from the use of said photograph/interview.

    I agree that it is the parents/guardians’ or designated representative’s responsibility to provide transportation to, from and during any function of The Stingrays Swim Team and that if any transportation by representatives of The Stingrays Swim Team is not being provided parents must assume the responsibility of travel. When travel is established through The Children’s Aid, we will provide proper coverage in all aspects of the team.

    I agree to and will sign the following: Terms and Conditions for Participation in The Stingray Swim Team. I understand that all these forms constitute a legally binding contract.

     

  • Splash Fit Swim Club

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    PARTICIPANT HEALTH HISTORY

    At Splash Fit Swim Club, our student's mental and physical wellbeing is the most significant priority to us. All participants with any health issues should see a physician before beginning any kind of physical activity. Please inform us of any current or former health issues that the applicant feels would hinder his/her ability to learn or of any physical complications that can create obstacles during the student's learning experience. 

    CONCUSSION AWARENESS-PREVENTION GUIDELINES

    The following constitute the policies of Splash Fit Swim Club or “SFSC” regarding concussion awareness and prevention within our organization. SFSC is committed to maintain an adequate system and regularly promote a concussion awareness and safety recognition program, including, but not limited to, the online Concussion Course offered by the Centers for Disease Control and Prevention. SFSC communicates, in writing (including by electronic means), our concussion awareness and safety recognition program to all participants, coaches, parents and involved parties. SFSC has a clear understanding of concussion and the potential consequences of the injury; recognizing concussion signs and symptoms and how to respond. SFSC is focused on prevention and preparedness to help participants stay safe and learn the steps for returning to activity after a concussion.

    Splash Fit Swim Club will take the following 5 steps if we suspect a participant has a concussion:

    1. Remove the athlete from play. Look for signs and symptoms of a concussion if your athlete has experienced a bump or blow to the head or body. When in doubt, keep the athlete out of play.
    2. Ensure that the athlete is evaluated by a health care professional experienced in evaluating for concussion.
    3. Recording the following information can help health care professionals in assessing the athlete after the injury:
    • Cause of the injury and force of the hit or blow to the head or body
    • Any loss of consciousness (passed out/knocked out) and if so, for how long
    • Any memory loss immediately following the injury
    • Any seizures immediately following the injury
    • Number of previous concussions (if any)
    4. Inform the athlete’s parents or guardians about the possible concussion and give them the fact sheet on concussion. Make sure they know that the athlete should be seen by a health care professional who is experienced in evaluating for concussion.
    5. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says he/she is symptom-free, and it’s OK to return to play.

    A repeat concussion that occurs before the brain recovers from the first concussion—usually within a short period of time (hours, days, or weeks)—can slow recovery or increase the likelihood of having long-term problems. In rare cases, repeat concussions can result in edema (brain swelling), permanent brain damage, and even death.

    LIABILITY/WAIVER & AUTHORIZATION

    I hereby authorize any representative of Splash Fit Swim Club to arrange to treat Participant(s) for injury in any medical emergency during participation in aquatic activities under their supervision. I hereby waive, release and forever discharge and agree to indemnify and hold harmless Splash Fit Swim Club, any facility in which their program takes place, their shareholders, owners, members, directors, officers, agents and employees (the “Released Parties”) from any and all actions, suits, demands, claims, damages, attorney fees, and causes of action of any type or kind whatsoever arising out of or caused by the participant(s) in any aquatic activities at Splash Fit Swim Club and/or it’s facilities. I also give full permission for the use of photography for advertisement purposes.

    I HAVE CAREFULLY READ THE “TERMS, CONDITIONS & COVID RELEASE POLICY” OF THIS REGISTRATION FORM AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE.

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