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| A parent/guardian signature is required so the following needs to be selected, print selection, and mailed to address at bottom. Thank you!
Parents names: Mother First Last Father First Last
Swimmer's Name Age Birthday Gender
Full Address Home phone Work Phone Cell Phone
Email Address: Agree to have email added to yahoo email group: YES NO ---------------------------------------------------------------------------------------------------------- PARENTAL (List all swimmers individually)
I, , give permission for to swim on the Breton Bay Swim Team and attend swim meets during the 2007 season. I am aware that the Southern Maryland Swim League, the Breton Bay Swim Team, its coaches and/or Breton Bay Rec. Inc. are not responsible for injuries or accidents incurred while swimmers are participating in team activities.
Date: Parent/ Guardian Signature:____________________________
Emergency Contact Name: Phone Number: ------------------------------------------------------------------------------------------------------------ Breton Bay Swim Team VolunteerCommitment Agreement
I acknowledge the need for one member or friend of my family to work one half of each meet in which my child or children are swimming. In cases where no one from our family can help at the meet, I will help the Volunteer Coordinator find a substitute to cover my family's volunteer duties.
Parent/ Guardian Signature:____________________________
Mail forms to: Breton Bay Golf and Country Club 21935 Society Hill Road Leonardtown, MD 20650 |
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