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    Registration form

    Parent/Guardian Information

    At least one parent/guardian registration is required.
    New accounts will be sent an email confirmation message with instructions to setup a password.

    Please indicate which parents will be volunteering this season. At least one parent/guardian is required to volunteer.

    At least one parent/guardian email address must be provided.
    Check the boxes to indicate which parent/guardians should receive team-wide emails.

    First Name * Last Name * Email Address *
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    Primary Phone Volunteer?

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    Athlete Information

    Enter the information for each athlete being registered below. At least one Athlete registration is required.

    First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
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    Home Address

    Member

    Are you a member of Georgetown Swim Club? *

    Non- Member Fees

    Non members are required to pay an additional $45.00 per swimmer beyond the above member prices. Please check the box below if you are NOT a member of Georgetown Swim Club.

    ASA 2018 Waiver With Fees

    I hereby verify that the information above is correct, and in consideration of the above named swimmer(s) being allowed to participate in any way in the Atlanta Swim Association, related events and activities (the ASA Programs"), the undersigned acknowledges, appreciates and agrees that: 1. The risk of injury from the activities involved in the ASA 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 ASA Programs; and 3. On behalf of Swimmer, I willingly agree to comply with the states and customary terms and conditions for participation in the ASA Programs. If I observe any unusual significant concern in the readiness of Swimmer for participation or in the ASA 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 THE ATLANTA SWIM ASSOCIATION and CAPITAL CITY SPORTS, INC , 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 ASA Programs, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES 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 Releasees from any and all liabilities incident to Swimmer's involvement or participation in the ASA 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 ASA 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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