Register – Flambeau Area Swim Team

Registration Form

New This Season

A Waiver of Liability, Release, and Indemnity Agreement must be competed by all athletes and their parent/legal guardian(s) who act as a meet volunteer, coach, timer, or official.

Completion of this form covers the approved meets for the winter season of 2021-2022.

COVID Waiver of Liability form

We also have a new FAST 2021-2022 Family Handbook that needs to be reviewed and signed by a parent/guardian.

Please fill out one form per swimmer.

You must to pay a minimum of $25 per family 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 2021-2022 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, 2022, regardless of the payment plan I have chosen.

I have read the Parent Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I agree that my child must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me. I understand that my child cannot return to practice/play until providing written clearance from an appropriate health care provider to his/her coach. I understand the possible consequences of my child returning to practice/play too soon.

Handbook Acceptance

I hereby acknowledge that I received and read the FAST 2021-2022 Family Handbook. My checking the box also indicates that I understand the volunteer policy.

Signature of Parent/Guardian Completing Registration Form

Signature

Athlete Acknowledgement

I have read the Athlete Concussion and Head Injury Information and understand what a concussion is and how it may be caused. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian. I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must provide written clearance from an appropriate health care provider to my coach before returning to practice/play. I understand the possible consequence of returning to practice/play too soon and that my brain needs time to heal.

Athlete Signature

Flambeau Area Swim Team

Registration Form

New This Season

Swimmer Information

Parent/Guardian

Emergency Contact (other than parent/guardian)

Medical Information

Parent/Guardian Consent

Copyright 2022 © All rights reserved. Flambeau Area Swim Team