Swim4it Summer Camp 2026 Registration Form
  • Swim4it Summer Camp Registration

    26th July-1st of August 2026
  • Swimmer Information

  • Which days would you like to register your child for*
  • Gender*
  • Parent/Guardian Information
  • Emergency Information
  • Medical Release and Authorisation As Parent and/or Guardian of the named child, I hereby authorise the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunisations for the named child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorisation is granted only after a reasonable effort has been made to reach me. Permission is also granted to Swim4it and its affiliates including Directors, Supervisors and Teachers to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorised on the dates and/or duration of the registered camp. This release is authorised and executed of my own free will, with the sole purpose of authorising medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

  • Medical Release Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
  • I consent to Swim4it taking photographs and videos of my child*
  • I grant Swim4it full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications (child will never be named)*
  • Please tick all that apply*
  • Registration Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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