Register – Flambeau Area Swim Team

Registration Form

Please fill out one form per swimmer.

Payment has been modified this year due to COVID-19. You will pay $50 per swimmer at registration. Online payments are taken after you fill out the Registration Form. Our Treasurer will calculate your season balance after the season starts and contact you with details.

Swimmer Information

First Name

Last Name

Age

Grade

Birthdate

Squad

Parent/Guardian

Parent/Guardian #1*

Name

Phone

Address

City

State

Zip Code

Parent/Guardian #2

Name

Phone

Address

City

State

Zip Code

Emergency Contact (other than parent/guardian)

Name

Relationship to swimmer

Home Phone

Cell Phone

Work Phone

Medical Information

Physician's Name

Phone

Dentist's Name

Phone

Medications and/or special medical conditions of the swimmer that we should be aware of:

Parent/Guardian Consent

I give my permission for my child to participate in swimming instruction in all activities unless otherwise noted. I further give my permission for the Flambeau Area Swim Team to seek any necessary emergency medical treatment for my child. From time to time Flambeau Area Swim Team may desire to use a picture of your child captured during our activities. We will not publish your child's name in conjunction with the picture.

Yes, I approve of my child’s photograph being used in publication. No, I do not wish for my child’s photograph to be used in publication.

Acknowledgement

I agree to pay my 2020-2021 FAST swim fees according to the due dates in my payment plan and understand that at any time I may pay off my account in full.

I acknowledge that all fees are due in full on or before January 1, 2021, regardless of the payment plan I have chosen.

I acknowledge that if my account is not current, my swimmer will not be allowed in the water and will not be allowed to participate in any meets until my account is current.

Flambeau Area Swim Team

Registration Form

Swimmer Information

Parent/Guardian

Emergency Contact (other than parent/guardian)

Medical Information

Parent/Guardian Consent

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