Windsor Aquatic Club - Permission Form
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Meet: |
2008
Short Course Junior Provincials
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Hosted
By: |
Swim Ontario and London Aquatic Club | |||
Location: |
Canada Games Aquatic Centre | |||
Date: |
February 28 - March 2, 2008 | |||
Hotel: |
Travelodge
London South 800 Exeter Road 519-681-1200 |
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Session
Times: |
www.swimmeet.ca www.csca.org/lac/meets.html |
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Cost: |
$8.40 | per
event |
x
_ _ _ _ _ events = |
$ _ _ _ _ _ _ |
Team
Surcharge |
$285.00 _ _ _ _ _ _ | |||
Total |
$ _ _ _ _ _ _ |
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 |
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Return completed permission form to COACH with payment attached |
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NO LATER THAN - |
Tuesday,
February 26, 2008
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- NO EXCEPTIONS |
Name: |
_______________________________________________ |
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2008
Short Course Junior Provincials - February 28 - March 2, 2008
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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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