Oakwood Athletic Club
To Enhance and Enrich the Lives of Our Members

Swim Team Registration
Contact Information
First Name:
Last Name:
Address 1:
City:
State:
Postal Code:
How should we contact you ?
Home Phone:
Email Address:
Information Requested
Swimmer's Name
Swimmer's Gender Male   Female  
Swimmer's Date of Birth
Swimmer's Age as of 6/15
Did this swimmer participate on the 2009 Oakwood Swim Team? Yes   No  
This swimmers past swimming experience...
Does this swimmer have any health conditions we need to be aware of?
Please indicate theseasons this swimmer will participate in
(select all that apply)
 Spring Season: April 12th - June 12th ($265)
 Summer Season: June 7th - August 15th ($265)
 Full Season: April 12th - August 15th ($300)
Please indicate your preferred practice times if you are partcipating in the SPRING season
(select all that apply)
 Ages 6 and under: 3:00pm - 3:30pm
 Ages 8 and under: 3:30pm - 4:00pm
 Ages 7 and 8: 4:30pm - 5:00pm
 Ages 9 and up: 3:30pm - 5:00pm
 Ages 9 and up: 4:00pm - 5:00pm
Please indicate your preferred practice times if you are partcipating in the SUMMER season
(select all that apply)
 Morning Practice
 Afternoon Practice
If registering on or before April 20th please indicate the swimmers t-shirt size Youth small
 Youth medium
 Youth large
 Adult small
 Adult medium
 Adult large
 Adult XL
Please indicate if you would like to purchase a Parent's Booster's T-shirt ($8.00) Adult small
 Adult medium
 Adult large
 Adult XL
 Adult XXL
How would you like to pay for participation in this years team? House charge to Club account
 Credit Card (please stop by the Activities Desk for proccessing)
 Check/Cash (please submit payment to Activities)
Swim Team Waiver: As a participant in the Oakwood Athletic Club swimming program, it is without assumption of responsibility of any kind on Oakwood Athletic Club. In consideration if the acceptance of this application, I do hereby for and on behalf of my heir and legal representatives release and discharge Oakwood Athletic Club and their coaches, instructors, and assistants from any and all damages of any kind, nature and character which I may have, or may thereafter, aquire for any and all damages, loss, or injuries, which may be suffered of sustained by me, or my children in connection with any activities during the period for which such permission is granted and any period traveling to or from such event described, and all such claimes are hereby waived and released and I convent not to sue. I also understand this program requires conduct of good nature and I agree to conduct myself accordingly. BY SUMBITING THIS FORM I SUBMIT MY AGREEMENT TO THE ABOVE STATED WAIVER.

  

* Bold Fields are Required