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    QL Eagles Registration Form 2020

    Welcome to the Queens Lake Eagles Summer Swim Team 2020

    Completing this Swim Team Registration form will help the team coordinators obtain a count of the number of swimmers that will likely join the swim team this season. There is no need to pay for swim team or pool membership at this time.

    ESTIMATED PRICING: (Final 2020 pricing will be provided once more information is known about the season.)

    • QLCA MEMBERS - FAMILY POOL MEMBERSHIP $360
    • NON-RESIDENTS: FAMILY POOL MEMBERSHIP $395
    • SWIM TEAM: $75 PER SWIMMER (MAX $300 PER 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.

    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

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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

    VPSU Waiver

    RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT ("AGREEMENT")

    IN CONSIDERATION of being permitted to participate in any way in any swimming activity ("Activity") at any time during the current calendar year I, for myself, my personal representatives, assigns, heirs, and next of kin:

    1. ACKNOWLEDGE, agree and represent that I understand the nature of swimming activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe the conditions to be unsafe, I will immediately discontinue further participation in the Activity.

    2. FULLY UNDERSTAND that: (a) swimming ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity.

    3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the VPSU, its administrators, directors, agents, officers, members, volunteers, team members, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as the result of such claim. 

    *
    Enter your initials to indicate acceptance: *
    VPSU-Minor Release

    MINOR RELEASE

    AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF SWIMMING ACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE'S FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIMS AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.

    *
    Enter your initials to indicate acceptance: *
    Swim Team Parent Support

    Swim team at the Queens Lake pool is more than just swimming. It’s important for the swimmers to have fun and to feel supported by all the parents. Parent team support is essential to the success of our summer swim team. Information will be shared regarding how volunteers will be needed for the 2020 season once it is available.

    *
    Enter your initials to indicate acceptance: *
    Non-Resident Members (Estimated Family Rate $395)

    A pool application will be necessary once all the logistics for the season are complete. 

    Enter your initials to indicate acceptance:
    QLCA Members (Estimated Family Rate $360)

    A pool application will be necessary once all the logistics for the season are complete. 

    Enter your initials to indicate acceptance:

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