2025 Aqua Knights Registration & Health Information Form

Lake Camelot Aqua Knights Swim Team

2025 Registration and Health Form
Swimmer's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Swimmer's age as of June 1, 2025*
Gender*
Member of Lake Camelot & Associated Fees*

Yes [$100 per child, $10 discount for each additional child]No [$110 per child, $10 discount for each additional child]
Swimmer T-Shirt Size
Grade 2025-2026 School Year
Address

Street Address

CityState

Zip Code
Parent / Guardian 1 Name

First NameLast Name
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Phone*
Parent / Guardian 2 Name

First NameLast Name
Parent/Guardian 2 Email
example@example.com
Parent / Guardian 2 Phone
Emergency Contact Name*
Emergency Contact Phone*
Health Information
Please check any condition(s) your child has:

SeizuresAsthmaHeart DiseaseDiabetesEar InfectionsNosebleedsOther
Please list any allergies your child has:
Please share any additional concerns you would like to share about your swimmer:
I am interested in volunteering (please check all that apply):

Pancake Breakfast FundraiserEnd of Season Party PlanningAqua Knights Parent Committee
I certify that the above information is true and correct to the best of my knowledge. I release the Lake Camelot Round Table Association and their respective servants, agents, officers, and all other participants in activities of the program of and from all claims, demands, and actions and case of action of any sort, for injury to my child during his/her participation in the activities of the swim team, or any injury which follows participation in such activities.
Parent/Guardian Signature*

Clear
Parent/Guardian Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Lake Camelot Aqua Knights Swim Team

2025 Registration and Health Form

Health Information