Team Waiver

 Regency Riptides Waiver

Summer 2013


 

Please print, sign and bring to registration on April 14th, 2013.



Waiver

I, my heirs, executors, administrators and assigns, hereby release the Cambridge-Wyndfall at Regency Homeowners Association, Tarheel Swimming Association, pool managers and operations, volunteers and coaches from above named participants’ injury or loss which might occur during participation and travel to and from planned events, including injury or loss arising form or contributed to by any physical impairment or defect that said participants may have, whether latent or patent, and I agree that sponsors and promoters are under no obligation to provide physical examination or other evidence of said participants’ fitness to participate in such activities, the same being my sole responsibility.

Swimmer Name and Age   ___________________________________       

Parent/Guardian Name, please print:  ___________________________________       

 Parent/Guardian Signature:  _______________________       Date:  _____________

 

 

OFFICE USE ONLY

Check #  __________             Date:  ___________      Amount:  __________

Web Registration Completed:   _______

4 Volunteer Positions Committed:  _______

Announcements

2014 Swim Team Registration
 

April 27th, 2pm to 4pm
Cambridge Pool

Check back for more information.

 

 

 

 

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