SCENIC CITY AQUATIC CLUB

2009 REGISTRATON FORM

 

                                                                                    DATE____________________

 

Swimmer's Name:       ________________________________________________________________

                                                Last                              First                              Middle

 

Sex________     Age_________      Grade_________    School _______________________________                               

 

Birth Date____________________

                 Month    Day    Year

 

Parents' or Guardians' Names: _________________________________HomePhone_________________

 

Address:______________________________________________________________________________

                                    Street                           City                  State    Zip

Father's Employer:___________________________________________Phone:_____________________

 

Mother's Employer:__________________________________________Phone:______________________

 

E-Mail address Swimmer ___________________________ Parents ___________________________

 

Registration Fee  +                                                                                                 $40.00 

USA Swimming Membership Fee  (includes insurance)                                 $50.00

Club Fees:

Pre-competitive             $60.00/month  2 practices/week                               

Superstars:                    $70.00/month  4 practices/week                              

Home School                $70.00/month  4 practices/week

High School Group     $50.00/month  4 practices/week

Middle School Group $50.00/month  4 practices/week                             

Green:                             $85.00/month  5 practices/week                              

Blue:                               $95.00/month  6 practices/week                             

Senior:                           $105.00/month  9 practices/week                             

                                   

TOTAL REGISTRATION: USA Swimming  Fee + Club fees                                  $90.00

 

Club agreement:

I understand that I am responsible for the fees for the entire moth I am registering for and that my child will be automatically renewed for the next month unless I give written notice to the Head Coach more than 30 days in advance of the next month.

 

signed ____________________________________________________  Date ___________________

                                    Parent's signature

 

RETURN YOUR REGISRATION FORM WITH YOUR REGISTRATION FEES.

MAKE CHECKS PAYABLE TO: SCENIC CITY AQUATIC CLUB

            205 Island Ave. Chattanooga, TN 37405                                 (423) 634-7606

 

 

 

 

 

 

 

Please complete USA swimming registration form also

 

(OVER)

Tell us about your interests and talents

We need your help

 

Volunteer activity interest form

 

Please indicate your areas of interest – Don’t be afraid, training is available

 

Lane timing _____________________      Automatic Timing___________________

 

Scoring _________________________       Computer recording _______________

 

Lane recorder ___________________      Clerk of course ____________________

 

Facility setup/tear down _________      Announcing _______________________

 

Award distribution _______________     Concession donation ______________

 

Concession sales ________________       Publicity ___________________________

 

Fund raising _____________________      Hospitality _________________________

 

Meet Marshall ___________________      Bulletin board maintenance ________

 

Deck Official (USA Swimming certification required)  _____________________

Please ask about certification training