Parent InformationParent Name (1) First Last Work / CellEmail Parent Name (2) First Last Work / CellEmail Parent's Shirt SizeSelectXSSMLXL*$20 when paid with registration *Adult sizes onlyAddress Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Swimmer InformationChild 1 First Last Date of Birth Date Format: MM slash DD slash YYYY Age as of date 6/1/23Please enter a number from 5 to 18.*please enter number between 5-18Gender Male Female LevelSelectSharkJr Shark*Level to be determined by coaches during the first week of practice. Sharks must be able to swim 50 yards, consistently, and have knowledge of at least TWO strokes. Jr Sharks must be able to swim 25 yards, consistently, and have knowledge of at least ONE stroke. Swimmer Shirt SizeSelectYouthAdultGuaranteed if registering before May 1Youth Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Adult Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Child 2 + Add Child Child 2 First Last Date of Birth Date Format: MM slash DD slash YYYY Age as of date 6/1/23Please enter a number from 5 to 18.*please enter number between 5-18Gender Male Female LevelSelectSharkJunior SharkChoose one from the drop downSwimmer Shirt SizeSelectYouthAdultGuaranteed if registering before May 1Youth Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Adult Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Child 3 + Add Child Child 3 First Last Date of Birth Date Format: MM slash DD slash YYYY Age as of date 6/1/23Please enter a number from 5 to 18.*please enter number between 5-18Gender Male Female LevelSelectJunior SharkSharkChoose one from the drop downSwimmer Shirt SizeSelectYouthAdultGuaranteed if registering before May 1Youth Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Adult Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Child 4 + Add Child Child 4 First Last Date of Birth Date Format: MM slash DD slash YYYY Age as of date 6/1/23Please enter a number from 0 to 25.*please enter number between 5-18Gender Male Female LevelSelectJunior SharkSharkChoose one from the drop downSwimmer Shirt SizeSelectYouthAdultGuaranteed if registering before May 1Youth Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Adult Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Child 5 + Add Child Child 5 First Last Date of Birth Date Format: MM slash DD slash YYYY Age as of date 6/1/23Please enter a number from 0 to 25.*please enter number between 5-18Gender Male Female LevelSelectJunior SharkSharkChoose one from the drop downSwimmer Shirt SizeSelectYouthAdultGuaranteed if registering before May 1Youth Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Adult Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Child 6 + Add Child Child 6 First Last Date of Birth Date Format: MM slash DD slash YYYY Age as of date 6/1/23Please enter a number from 0 to 25.Gender Male Female LevelSelectJunior SharkSharkChoose one from the drop downSwimmer Shirt SizeSelectYouthAdultGuaranteed if registering before May 1Youth Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1Adult Shirt Size SelectionSelectXSSMLXLGuaranteed if registering before May 1LIABILITY WAIVER & MEDICAL CONSENTI, the parent/guardian of the above-named child(ren), certify that all of the above information is correct. I hereby give my approval for my child’s/children’s participation as a swimmer on the Farmington Sharks Swim Team, and their participation in any and all Farmington Sharks Swim Team activities. I understand that swimming is an action sport carrying the risk of significant personal injury, and do hereby waive, release, absolve, indemnify and agree to hold harmless the Farmington Sharks Swim Team, its Coaches, its Board of Directors, sponsors and volunteers while my child participates in practices and meets, of any claim arising out of any injury to my child(ren). Should an accident or injury occur, I hereby authorize the above named swimmer(s) to be treated by qualified medical personnel and/or be transported to an emergency medical facility.Parent/Guardian Name Printed:* First Last Parent/Guardian Signature and Date:*PHOTO RELEASE WAIVERPhoto Release: The Farmington Sharks Swim Team reserves the right to photograph participants in the Swim Team program for potential future use. All photos remain the property of the Farmington Sharks Swim Team and may be used on promotional materials including the Farmington Sharks Swim Team website or other purposed determined by the staff and Board of the Farmington Sharks Swim Team. The name of a minor will never be associated with the photographs in a public forum.Select one below* I give permission for my child(ren) to be photographed I do NOT give permission for my child(ren) to be photographed Signature*Printed Name* First Last Trial Period: The Farmington Sharks Swim Team offers a one week trial period. New swimmers are encouraged to try our practices to see if they are a good fit for you and your family. If you are not completely satisfied after one week, your swim team registration and fundraising fees (if applicable) will be fully refunded. No other refunds will be considered. This includes refunds for injuries, vacations, jobs, etc.Today's Date Date Format: MM slash DD slash YYYY Total $0.00 * A portion of your registration fees goes towards our LAL dues.Product Name Price: $0.00 Quantity: Total $0.00 Product Name Price: $0.00 Quantity:
