Meet: Blenheim Foxtales S.E.A.L. Swim Meet
Hosted by: Blenheim Foxtales

Location:

Date: Sunday October 22nd, 2006

Times: Warm-ups 8:00 a.m.
Start 8:45 a.m.

Cost: $25.00

Please return the bottom portion of this permission form to your swimmer’s COACH along with the payment NO LATER THAN Wednesday, October 11th, 2006 – NO EXCEPTIONS

NAME _______________________________________________________________________

S.E.A.L. Blenheim – October 22nd, 2006

Payment must be enclosed: $ __________________

I am a parent (guardian) of the above child, and in consideration of the Windsor Aquatic Club permitting my child to take part in the aforementioned swim meet, I hereby agree that the Windsor Aquatic Club, its officers, directors, coaches, and members shall not, except for negligence be responsible for any injury, loss, damages, or costs which may be suffered or incurred by me or my said child arising out of the said meet, including but not limited to transportation to and from the meet, accommodation at the meet, and incidental activities while attending the meet. PARTIAL REFUNDS ON TRAVEL AND ACCOMMODATION FEES FOR MEDICAL REASONS ONLY.

Dated: ______________________ Signed: __________________________________________