Spring 2021 Viking Water Polo Registration

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We are happy to offer a Spring Vikings Water Polo season this year. Water Polo is an exciting, fast-paced, physically-rewarding sport that is growing in popularity and is renowned for building a community of lasting friendships and team bonds. Our program is a great way for existing players and newcomers alike to build strength and endurance, improve their water polo skills, develop teammate relationships.

Head Coach Andy Neff will lead the teams this season.

For additional details, please visit www.vikingwaterpolo.com (which also provides key team information throughout the season).

The REGISTRATION FORM below is for the Viking Water Polo Club, Spring 2021 Session. The session runs February 15 – May 1st with the last practice on April 28th at Dynamo. The cost is $250.00 when paid by check or Paypal. NOTE: Checks should be made out to Viking Water Polo (with the Swimmer's name listed on the memo line) and mailed to Jane Deaver at 1875 Castleway Lane, Atlanta, GA 30345. You may pay via Paypal at Vikingswaterpolo@gmail.com or use this link: https://www.paypal.com/paypalme/vikingwaterpolo?locale.x=en_US.

Please contact Jane Deaver (jane_deaver@hotmail.com) or William Higgins (william@augusthiggins.com) with any questions about registration.

Please note that the registration fee includes: pool rental fees, coaches’ fees, scrimmage pool fees, referee fees. Practices will be held at the Dynamo Swim Club (50-meter pool) located at 3119 Shallowford Rd NE, Chamblee, GA 30341.

If you have not registered with the American Water Polo organization (AWP), you must do so BEFORE completing the Registration Form below (in order that the player can be assigned an AWP number). To register with AWP, please go to https://americanwaterpolo.org/join-now/ and click Join Now. The American Water Polo membership is further required by the Georgia High School Athletic Association to allow students to compete in Georgia Water Polo events. The AWP Membership also covers the player's athletic liability and insurance coverage for practice and games.

There are two waivers that must be signed for participation. The first is the Viking waiver, which is included with the registration form. The second is the COVID Dynamo waiver. If you completed the COVID Dynamo form this past fall, you do not need to do it again.

PRACTICES: Our spring season practices are at Dynamo Swim Club (3119 Shallowford Road, Chamblee) and take place Mondays (8:15 - 9:45 pm) and Wednesdays (8:30 – 10:00 pm). Practices will start on Wednesday, February 15th at 8:15 and the last practice will be on Wednesday April 28th. As always, be sure to regularly check our website at www.vikingwaterpolo.com for additional details or to find scheduling changes or updates.

PLAYERS’ SUITS: Players do not need a specific suit to participate but Viking Water Polo suits can be purchased through our online store. The ordering deadline is 2/19. The suits should arrive the first week of the season in time for the second weekend of games. Link to order: https://lakesidewaterpolo2021feb.itemorder.com/

CONTACT: If you have any registration questions or want to be added to our google list-serve, please contact William Higgins at: william@augusthiggins.com.

GO VIKINGS!

Swimmers First Name *

Swimmer Last Name *

Swimmer Birthdate *

TTTT

Swimmer email *

Swimmer School *

Swimmer Grade *

AWP Number *

Must be a Member of American Water Polo for Insurance Purposes (https://americanwaterpolo.org/join-now/)

Swimmer Guardian/Releasee Name *

Emergency Contact Name *

Emergency Contact Number *

Parent/Guardian Primary Email Address *

Parent/Guardian Secondary Email Address

I understand that my AWP number must be current and I will sign and turn in the Viking Water Polo physical form. *

YES

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Viking Polo Team Waiver *

1. The risk of injury from the activities involved in the Lakeside Viking Water Polo Programs is significant, including the potential for permanent disability and even death, and while particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury to the Swimmer does exist; and

2. On behalf of Swimmer, myself and spouse, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF RELEASEES or others, and assume full responsibility for the participation of Swimmer in the Lakeside Viking Polo Team Programs; and

3. On behalf of Swimmer, I willingly agree to comply with the states and customary terms and conditions for participation in the Lakeside Viking Team Programs. If I observe any unusual significant concern in the readiness of Swimmer for participation or in the Lakeside Viking Team Programs, I will remove Swimmer from participation and bring such to the attention of the nearest official immediately, and

4. On behalf of Swimmer, myself, my spouse and our heirs, personal representatives and next of kin, I HEREBY RELEASE Lakeside Water Polo Club and any other swim facility used as interim practice facilities, its directors, officers, agents and/or employees, other participants, sponsoring agencies, facility owners and lessor, sponsors and advertisers (the "Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to Swimmer's involvement or participation in the Lakeside Viking Team Programs, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASES OR OTHERWISE, to the fullest extent permitted by law.

5. On behalf of Swimmer, myself, my spouse and our heirs, personal representatives and next of kin, I HEREBY INDEMNIFY AND HOLD HARMLESS ALL THE ABOVE Releases from any and all liabilities incident to Swimmer's involvement or participation in the Lakeside Viking Polo Team Programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS AND HAVE HAD ALL MY QUESTIONS FULLY ANSWERED, FULLY UNDERSTAND THAT I HAVE THE CHOICE OF NOT PARTICIPATING IN THE LAKESIDE VIKING WATER POLO TEAM PROGRAMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

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Dynamo Club Facilities Waiver

For and in consideration of the benefits to me from the use by me and/or my child(ren) of the facilities of Dynamo Parents Club, Inc. (Dynamo Swim Center) and other good and valuable consideration, the undersigned, individually and for his/her heirs and personal representatives, hereby release Dynamo Parents Club, Inc. directors, officers, agents, swim team members, and employees from any and all claims of any kind of nature whatsoever, arising out of the use by me and/or my child(ren) of said facilities. The undersigned, individually and for his/her heirs and personal representatives, further agree to indemnify, defend and forever hold harmless Dynamo Parents Club, Inc. and their directors, officers, agents, swim team members and employees from any and all liability and loss whatsoever, (including and cost of defending claims) arising out of said use of said facilities.

I have read the above Waiver *

YES

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Modesty and Swim Suit Rules *

Each team must agree to the swim suit guidelines and understand that if they are not followed, the swimmer and/or team can be penalized

1. The water polo swimming suit for all athletes should be characterized by conformity to recognized standards and shall follow the body shape.

2. Water polo swimming suit fitting as prescribed by the manufacturer is recognized by and is acceptable to the GHSWPA League. Any question or issue with swim suit selection and fit shall be addressed by the Club/Team coach with the athlete and the parent/guardian. Among other providers, the following manufacturers provide fit instructions as reference and can be communicated to the athlete and the parent/guardian: a. http://www.tyr.com/shop/sizing b. www.turboswimwear.co.uk/turbo-size-guide/ c. www.clubassistant.com/c/3937230/file/Apparel/waterpolo-sizing-chart.pdf

3. Each Team/Club should provide guidance to their athletes and/or to their parent/guardian to communicate the recommended requirements for proper suit selection. Each Team/Club would be in charge of compliance and communicate with their athlete and/or parent/guardian for conformance.

4. As regards fitting and use of a water polo suit for female athletes, when such an athlete is not competing, as a safety and health precaution, the water polo competition swimming suit when worn over a secondary swimming suit may be adjusted and loosened to relieve the pressure and restrictions on the body inherent in such a suit. For example, the shoulder strap of the competition swimming suit may be slipped off the shoulder and the zipper in the back adjusted to provide physical relief from the constraint a competition swimming suit. It may be practical for the Club/Team management to recommend that their athletes change out of a competition water polo swimming suit if there is a long period between games.

5. Swim attire policy, articulated by the management of a venue used by the GHSWPA shall be abided by in the event attire prescription is provided.

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