Windsor Aquatic Club - Permission Form

 

Meet:

Windsor Essex Swim Team S.E.A.L. Swim Meet

Hosted By:
Windsor Essex Swim Team
Location:
St. Denis Centre
University of Windsor
College Ave (near Huron Church)
West entrance

Date:
Sunday December 17th, 2006
Session Times:
Warm-ups 8:00 a.m.
Start 8:45 a.m.

Cost:
$00.00
per event
x _ _ _ _ _ events =
$00.00 _ _ _ _ _ _
Team Surcharge
$00.00 _ _ _ _ _ _
Total

$25.00 _ _ _ _ _ _

     
 

Return completed permission form to COACH with payment attached

 
NO LATER THAN -
Saturday November 11th, 2006

- NO EXCEPTIONS

 

Name:

_______________________________________________

 
S.E.A.L. Windsor Essex – Sunday December 17th, 2006
   
Payment 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.
 
SIGNATURE:___________________________________    DATE:______________