Fun — Fast — Fierce

GOLDEN TIGERS SWIM CLUB

Swim Meets

Phone: 770-534-6279

www.swimgt.org

E-mail: amatthews2@brenau.edu

To contact us:
Text Box: Upcoming Swim Clinics/Camps International Summer Swim Camp July 21-31, 2010 (10 days) $620 day campers $820 overnighters Includes training, food, presentations by Olympic swimmers, and field trips to Six Flags, GA Aquarium, World of Coke, & other fun activities. Pictured below: 2008 Swim Clinic students and coaches!

Don’t forget to complete your USA Swimming Registration Form in order to participate in the meets. Go to www.usaswimming.org.

2/7/10 Snowed Invitational, Habersham (Make up)

2/19-21/10 LA at Frances Meadows

3/13-14/10 LA at Frances Meadows

3/26-28/10 N. Division Championships, UGA

4/24-25/10 Mako Mania, Dalton

 GTSC SWIMMER REGISTRATION FORM

Swimmer’s Name _______________________

Address ____________________________

___________________________________

Birth Date ___________________________ 

Parents’ Names _______________________

                       ________________________

Home Phone _________________________

Parent’s Cell __________________________

Swimmer’s Cell _________________________

Parent’s email _________________________

Swimmer’s email ________________________

School ______________________________

T-Shirt Size:   S     M     L     XL

Emergency Contact ____________________

Phone No. ____________________

Insurance Co.: ________________________

Policy No. for Swimmer——————————-

Any special needs/meds? _________________

 

GTSC  EMERGENCY RELEASE

 

I/We the undersigned hereby certify that I/we am/are the parent(s)/legal guardian(s) of the swimmer :______________________

Swimmer’s full name: (please print)

 

I/We hereby give permission for the staff of the Lessons Program to seek appropriate medical attention in the event of accident, injury or illness.  I/We will be responsible for any and all costs of medical attention and treatment.  I/We agree to hold Golden Tigers Swim Club  and its staff, officers, agents and employees harmless and to waive right to bring legal action against the lesson, the University and its employees.  I hereby appoint Golden Tigers Swim Club  as my agent for the purpose of obtaining medical treatment in the event of injury.  I agree to allow Golden Tigers Swim Club  to file initial claims to my insurance in seeking medical treatment.

_________________________

_________________________

Parent’s full name (please print):

 

 _____________________________________

 _____________________________________

Signature of Parents/Guardian                          Date

 

Please attach copy of medical insurance card.