Missouri City Torpedo Swim Team

Registration Form

(Front of form – please cut and paste into Microsoft Word and print)

MISSOURI CITY TORPEDOES SWIM TEAM

2002 SWIMMER REGISTATION

Swimmer’s name _______________________ Sex: _____ Age as of 5/31/O2 ___

Swimmer’s Street Address _______________________________

City, State, Zip ______________________________________Date of Birth_______

Swimmer’s Home Phone: ________________________

Father’s Name__________________________ Hm# ___________ Wk#______________

Mother’s Name__________________________ Hm# ___________Wk#______________

Swimmer’s Physician: ____________________ Physician’s # ______________________

In Case of Emergency Please Contact_________________________Phone#__________

Special Medical Information: Asthma: Yes No Other______________________________________

T-Shirt Size (circle one) YL AS AM AL AXL AXXL

Registration Information: Make checks payable to: MCTST
(Missouri City Torpedoes Swim Team)

Fee: $75.00 each for 1st and _2nd child $_________ Ck# __________

$35. 00 for each additional child $ ________ Total Amount $_________

Eligibility Swimmers currently swimming with another league must stop swimming in that league by
April 1,2002 in order to be able to swim in the Southwest Recreation Swim League.

Name of the other swim team:___________________________________________________

Please Note: Due to the commitments that must be made prior to and during the swim season and the expenses that will be incurred, partial refunds will be considered on an individual basis.

VOLUNTEER INFORMATION:

The Missouri City Swim Team needs your help. The program will not work without the volunteer effort of all parents. Please check at least one of the following categories of volunteer help.

______Age Group

_____Stroke Judge

_____Meet Equipment/Setup

_____Publicity

_____Fundraiser

_____Concessions

_____Timers

_____Ribbon/Awards

**************************************************************************

A donation of $25.00 per child will be accepted in the event no parent can fulfill volunteer obligations. Remember, the presence of a parent is always special.

Please fill this form out completely, read and sign the back

(Back of form – please cut and paste into Microsoft Word and print)

Missouri City Torpedoes

2222 Fairgreen Dr.

Missouri City, TX 77459

Parental Permission:

I hereby give permission for my child to participate in all activities of the Missouri City Torpedoes Swim Team (MCTST) this summer and in consideration for permitting my child to participate in the Swim Team’s activities, I agree to indemnify and hold harmless the MCTST, Avantguard Pools, its sponsors, its coaches, the Homeowners Association and parent volunteers from and against all loss, claims, demands and expenses arising out of or related to any illness or injury from my child’s participation in swim team activities. I also give MCTST permission to use photographs of my child for publicity purposes.

Signature of parent_______________________________________ Date:________________

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