2020-2021 Season Registration

Athlete's Name

Date of Birth (yyyy-mm-dd)

Address

Postal Code

Guardian Name

Phone Number

Email

Second Guardian (Optional)

Second Phone Number (Optional)

Second Email (Optional)

MCP Number

Allergies/Medical Conditions/Mental Health Conditions

Athlete's Swimming Experience (Swim Lessons, Synchro, etc.)

Program

• Tuesday Recreational (one day a week - 6:00-7:15pm)
• Thursday Recreational (one day a week - 6:00-7:15pm)
• Saturday Recreational (one day a week - 5:30-6:45pm)

I hereby grant permission, in the event of illness or injury, for an official chaperone, coach, or manager to provide my child with medical assistance and/or treament

• I agree
• I do no agree

Summit Synchro may promote synchronized swimming by posting photos/videos of its athletes on social media platforms or promotional boards at the Summit Centre.

• I agree
• I do not agree

Would you be okay with your athlete being in close contact with others on their team?

• Yes
• No

I will follow all COVID procedures and regulations that Summit Synchro provides.

• I agree
• I do not agree

Anything you would like us to know/comments/questions?