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Records
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TROJAN AQUATIC CLUB
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Parent Information
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Registration for Summer 2023
*
Indicates required field
Parents Name:
*
Parents Name 2
*
Address
*
Emergency Contact Number
*
Parents Cell
*
Parents Cell (2)
*
Parents Email
*
Parents Email (2)
*
Dates Swimmer is NOT Available
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Swimmer's Name
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First
Last
Gender
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Male
Female
Swimmer's DOB
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Age as of 6/1/23
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Swimmer's Name
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First
Last
Gender
*
Male
Female
Swimmer's DOB
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Age as of 6/1/23
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Swimmer's Name
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First
Last
Gender
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Male
Female
Swimmer's DOB
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Age as of 6/1/23
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Medical Release Information:
Primary Medical Insurance Name:
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Policy Number:
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Preferred Hospital:
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Known Allergies or Other Pertinent Medical Information:
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TAC Acceptance of Participation Standards and Liability Release
.
I have read and agree to the terms stated in the Acceptance of Partcipation and Liabilty Release. (Link above)
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Yes
Photography Consent and Release Form
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I have read and agree to the terms stated in the Photography Consent and Release Form. (Link above)
*
Yes
No (please add comment)
Please add comment if you do not agree with the Photography Consent and Release.
*
Would you be interested in placing a TAC yard sign on your property?
*
Yes
No
Swimmers will be in the pool beginning May 1, 2023. Practice schedules will be provided after registration is closed (approximately April 26, 2023).
Registration Fee is $260 per swimmer. Additional swimmers in the same family each receive a $20 discount.
Fees may be paid by check or Venmo @tacswimming
Checks shall be payable to "TROJAN AQUATIC CLUB" (returned checks will be charged an additional $15 fee).
Please mail to :
Trojan Aquatic Club
C/O R. Scarpato
1109 Smallbrook Lane
York, PA 17403
I will not hold the aquatic club, York Suburban School District or the coaching staff responsible for any injury while participating in the program. I also give permission for my child to be treated by emergency personnel in the event of an injury if I am not present.
Submit Registration