Berea Midpark Swim Club

Berea Midpark Swim Club - Registration

Swimmer's First Name:
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Swimmer's Last Name:
Swimmer's Birthdate:
Swimmer is...	Male Female
Parents' names:
Address:

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Any Known Allergies:
I (we) hereby give our permission for to participate in practice and travel with the Berea Midpark Swim Club to local and out-of town meets throughout the current swim season. Although I expect all reasonable safety procedures to be followed, I will not hold the coaches of BMSC nor any chaperone or volunteer working or traveling with the group personally liable for any accidents which may occur. In case of minor emergencies (cuts, scratches, headache, etc.), I (we) give persmission to the coaches or chaperones to treat these as they deem necessary. In the event of a more serious emergency, I give permission for it to be handled in the best manner as determined by the chaperones or coaches of BMSC until I am able to be contacted.