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2017/18 Full Season Membership Registration Form

Registrations are now open for the 2017/2018 Camp Hill Crocs Swim season.  For returning swimmers, we are very pleased to have you back this season.  For new swimmers, we welcome you and your family to the Camp Hill Crocs!  We look forward to sharing an exciting and rewarding season with you and your family.

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

Please indicate which parents will be volunteering this season. At least one parent/guardian is required to volunteer.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone Volunteer?

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Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
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Home Address

Club Nights and Carnivals

Do you wish to be contacted about Friday Club Nights and Carnivals? *

Swimming Lessons

Do you wish to be contacted about swimming lessons for your child(ren)? *

Junior Squad Training

Do you wish to be contacted about squad training for your child(ren)? *

Adult Squad Training

Do you wish to be contacted about squad training for you/your partner? *

Parent / Legal Guardian Consent
  1. Where an applicant is under 18 years of age this form must be endorsed by the applicant's parent or legal guardian
  2. I, as the Parent or Guardian of the applicant, agree to accept responsibility for the applicants behaviour and to follow all rules and regulations of C.H.A.S.C.
  3. I accept the Privacy Statement: Camp Hill Amateur Swim Club collects the above information in line with the Privacy Act 1988 to enable our administration to send you Swim Club information via e-mail, receive nominations via e-mail, place your child in the swimming events which are specific to gender and/or age and/or swim time. Your child's name, age and points earnt may be sent to our trophy manufacturer for engraving.

Some of the information contained in this form may be disclosed to other Swim Clubs where your child competes in carnivals with these swim clubs.

Identifying information may be disclosed in newsletters and results information.

The Camp Hill Swim Club has my permission to take photos of my child(ren) and use these photos for a range of promotional purposes for the Swim Club including (but not limited to) the school newsletter, the school magazine, the Club Website and the Camp Hill pool noticeboard.

I agree that the information I have provided is true and correct.

*
Enter your initials to indicate acceptance: *
Photo Consent

The Camp Hill Swim Club has my permission to take photos of my child(ren) and use these photos for a range of promotional purposes for the Swim Club including (but not limited to) the school newsletter, the school magazine, the Club Website and the Camp Hill pool noticeboard.

Enter your initials to indicate acceptance: