New Swimmer Information

Please e-mail this form to swimrams@hotmail.com or bring this with you to try-outs.

Name: Age:

Address:________________________________________________________________

Contact Phone #:_________________ Contact E-Mail Address:___________________

Your Personal Swimming Background: (Anything which relates to your swimming experience in the past, please list all experiences.)

_____________________________________________________________________________________________________________

Favorite 3 Events: (with Times if Applicable)

1.________________________________________

2.________________________________________

3.________________________________________

Other Information:

_________________________________________________________________________

Emergency Medical Release

I (we) hereby give our permission for _________________________ to participate in practice and meets with the RAM Swimming Club throughout the current season. 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