Sunrise Seahawk Swim Team Registration
| Swimmer: | Date of Birth: | |
| Address: | ||
| City: | State: | ZIP: |
| Phone (Home): (Office): | School: | |
| Parent or Guardian: | ||
| Parent’s Occupation: | ||
| Previous USS Swimming Club, if any: | ||
| Date of last competition: |
WAIVER
I, ___________________________, being a parent, or legal guardian hereby give the Sunrise Seahawk Swim Team the authority to authorize emergency transportation and emergency treatment for, ______________________ should ______________________ be injured or harmed in the above-registered activity or program, provided that I cannot be reached if I am reasonably unavailable to make these decisions. I only authorize the Sunrise Seahawk Agent to make these decisions until I am in a position to make them myself.
I will indemnify the Sunrise Seahawk Swim Team for the costs associated with the emergency medical transportation and the treatment authorized in my absence. Any pertinent medical information:
Parent/Guardian Signature_____________________________________Date:_______________
