Windsor Aquatic Club - Permission Form
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Meet: |
Frost Fest |
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Hosted By: |
Pointe Aquatics | |||
Location: |
Grosse Pointe
North High School, 707 Vemier Road, Grosse Pointe Woods, Mi. |
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Date: |
January 12-14, 2007 | |||
Session Times: |
Friday Warm-up: 4:30 P.M. First Event: 5:30 P.M. Saturday/Sunday: 10 & under, 8, & under, Morning Warm-up: 7:30 A.M. First Event: 8:30 A.M. 11-12, 13-14, Open, Afternoon Warm-up: 12:30 P.M. First Event: 1:30 P.M. CHECK IN CLOSES 15 MINUTES AFTER WARM-UP BEGINS |
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Cost: |
$5.00 | per event |
x _ _ _ _ _ events
= |
$ _ _ _ _ _ _ |
Team Surcharge |
$35.00 _ _ _ _ | |||
Total |
$ _ _ _ _ _ _ |
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Return completed permission form to COACH with payment attached |
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NO LATER THAN - |
Wednesday December 13, 2006
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- NO EXCEPTIONS |
Name: |
_______________________________________________ |
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Frost Fest - Pointe Aquatics
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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:______________ |
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