New Swimmer Application
Please mail this form along with a $25 try out fee to: Lori Lawler at 35 Windmill Drive Wakefield RI 02879 prior to starting your week trial period.
Name: __________________________ Age: ______ Grade:______
Contact Phone #:_________________ Contact E-Mail Address:___________________
Your Personal Swimming Background: (Anything which relates to your swimming experience in the past, please list all experiences.)
Event #1________________ time: _____________
Event#2 ________________ time: _____________
Event#3 ________________ time: _____________
Event#4 ________________ time: _____________
Emergency Medical Release
I (we) hereby give our permission for _________________________ to participate in practice with the RAM Swimming Club throughout the trial period. Although I expect all reasonable safety procedures to be followed, I will not hold the coaches working with the group personally liable for any accident which may occur.
In case of a minor emergency to our child (cuts, scratches, headache, etc) I (we) give permission to the coaches to treat these as they deem necessary. In the event of a more serious injury, I give permission for it to be handled in the best manner as determined by the chaperons or coaches of RAMS until I am able to be contacted.
Signature of Parent or Guardian:_________________________________ Date:______________
The undersigned hereby releases the RAMS Swimming Club, its Coaches, Employees, Officials and any RAMS designated facility from liability arising from any injury of the swimmer(s) listed below while participating in the RAMS swim program, practices, and other related activities. Your signature below gives permission and right to Coaches, Employees, Officers and team chaperons to seek medical attention for your swimmer(s) in the event you cannot be reached.
Parent/Guardian Signature: _____________________________________ Date: _____________
If you decide to join the Rams Swimming Club upon completion of the one week trial your $25 dollar try out fee will be rolled into your seasonal dues. The fee is non-refundable if you choose not to join the team.