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Gymnastics
Swimming Registration
*
Indicates required field
This registration is for returning participants ONLY
*
To proceed, choose yes
Yes
If no, please attend an in-person registration on May 4th or 11th
Child 1
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
Swim Suit Size
*
Must Choose one
Girls size 22
Girls size 24
Girls Size 26
Girls Size 28
Girls Size 30
Girls Size 32
Girls Size 34
Girls Size 36
Girls Size 38
Boys Size 22
Boys Size 24
Boys Size 26
Boys Size 28
Boys Size 30
Boys Size 32
Boys Size 34
Boys Size 36
Boys Size 38
Suit must be ordered by all participants. Money due on delivery. Girls Suits $34. Boys Suits $24
School
*
Child 2
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
Swim Suit Size
*
Must Choose one
Girls Size 22
Girls Size 24
Girls Size 26
Girls Size 28
Girls Size 30
Girls Size 32
Girls Size 34
Girls Size 36
Girls Size 38
Boys Size 22
Boys Size 24
Boys Size 26
Boys Size 28
Boys Size 30
Boys Size 32
Boys Size 34
Boys Size 36
Boys Size 38
School
*
Child 3
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
Swim Suit Size
*
Must Choose one
Girls Size 22
Girls Size 24
Girls Size 26
Girls Size 28
Girls Size 30
Girls Size 32
Girls Size 34
Girls Size 36
Girls Size 38
Boys Size 22
Boys Size 24
Boys Size 26
Boys Size 28
Boys Size 30
Boys Size 32
Boys Size 34
Boys Size 36
Boys Size 38
School
*
Child 4
*
First
Last
Age
*
Grade
*
Sex
*
Choose one
Male
Female
Swimsuit Size
*
Must Choose one
Girls Size 22
Girls Size 24
Girls Size 26
Girls Size 28
Girls Size 30
Girls Size 32
Girls Size 34
Girls Size 36
Girls Size 38
Boys Size 22
Boys Size 24
Boys Size 26
Boys Size 28
Boys Size 30
Boys Size 32
Boys Size 34
Boys Size 36
Boys Size 38
School
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Special Request
*
i.e. - same team as cousin, baby sitter's child, ect. We will try to accommodate everyone.
Other Information
*
Please list any physical, learning, or emotional challenges or limitations and / or medications the coaches need to know about.
Primary Contact
*
Relationship
*
Phone Number
*
Email
*
Secondary Contact
*
Relationship
*
Phone Number
*
Email
*
Volunteer Support
It is vital to the success of the swimming program that all parents/guardians are actively involved. Parents/guardians need to provide a concession item and help with food booth or individual events for each home meet.
Volunteer Support
*
Set up/Clean up
Concessions
Timers
Seeding Area
Ribbon Table
Officials
A vital part of the swimming program is the involvement of each parent/guardian. I understand that a concession item must be donated and that I will work in the food booth or with individual events at all home meets.
Consent for Participation
I, the parent/ guardian of the registrant, a minor, agree that the registrant and I will abide by the rules/guidelines of the HCC its affiliated organizations and sponsors. Recognize the possibility of physical injury or illness from exposure to any bacteria, fungus, virus, unknown contagious diseases, or COVID-19 associated with the swimming program and in consideration for the HCC, accepting the registrant for its programs and activities. I hereby release, discharge and or otherwise indemnify the HCC, its affiliated organizations and sponsors, their employees, and associated personnel, including the owners of facilities utilized for the program against any claims by or on behalf of the registrant because of the registrant’s participation in the program and or being transported to or from the same, which transportation I hereby authorize. Further permission must be granted by the HCC for the registrant without insurance coverage to participate.
Signature / Name
*
Consent for Minor Medical Treatment
As a parent or legal guardian of the above participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry . This care may be given under whatever conditions are necessary to preserve.
Signature / Name
*
Date
*
Medical Insurance
*
Choose one
Yes
No
Doctors Name
*
Phone
*
(Participation will not be denied based on whether or not participant is insured)
Photo/Video Consent
I/We grant permission for my child to have his/her photo/video taken and published on the HCC Programs public internet site or any other type of media.
Photo/Video Consent
*
Choose one
Yes
No
Submit
Home
About Us
Facilities
>
Rental Information
Board of Directors
History
Programs
Basketball
Camp HCC
Education Programs
Fall Soccer
Gymnastics
Indoor Soccer
Pickleball
Play Day
Roller Skating
Swimming - Summer
Swimming - Winter
T-Ball
Track and Field
Uptown Playground
Donations
Volunteers
PA Clearances
Craft Fair
Scholarship Program
Rental Information
Gymnastics