Waterbury Rapids Swim Team 2021 Registration
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Swimmer's Name (First, MI, Last) *
Date of Birth (Month/Date/Year) *
Age
Gender: How do you identify *
Gender Identity
Available and Interested in participating in the State Meet on August 7th and August 8th *
Parent/Guardian/Caregiver 1 -- NAME *
Street Address, Town, State, and Zip *
Home Phone *
Cell Phone *
Work Phone *
Email *
Emergency Contact Name/Phone *
Physician Name/Phone *
Insurance Name/Number *
Parent/Guardian/Caregiver 2 -- NAME
Street Address, Town, State, Zip
Home Phone
Cell Phone
Work Phone
Email
The team is run by parent volunteers. Please check at least ONE item below. *
Required
Waiver of Liability (Form: https://tinyurl.com/y43ak8aq). This form needs to be completed for participation in Waterbury Rapids. We will also have copies at the pool for you to sign as well.
Photo Release:  Waterbury Rapids may wish to take photographs (individual or group) of swimmers under the age of 18 that may include your child during their registration in the program. The program requires parental consent to take and use photographs. Parents have a right to refuse agreement to their child being photographed. You agree to allow the following: Take photographs to use on the club’s website, take photographs to use on the club’s Facebook Page, take photographs to use on club marketing materials, take photographs to include with newspaper articles and video for training purposes only.  The team during meets and practices will use USA Swimming recommended polices, no photography behind the starting block. *
Pool Membership: Swimmers must be members of the Waterbury Pool. (Individual or family memberships purchased online: https://tinyurl.com/y4fqszwm)
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