On-line Dive Team Registration

Who is Eligible? Enrollment is on-going for club members under 19 who can swim a lap without causing alarm to the swimmer or the coach. The coaching staff will help the youngest divers with technique while building confidence for future competition.

2010 Dive Team Registration Please complete the fields below and click "Submit". A fee of $90 per diver is due at the time of registration. Any child participating in both swim and dive will be charged a total of $170.

ACKNOWLEDGEMENT: By submitting this form, I acknowledge and understand that diving involves certain inherent risks of injury. Although my child will be supervised primarily by coaches employed by GFST, they will also be assisted, supervised and/or transported to events by parents and others who serve the team without compensation. With a full understanding of these risks and circumstances, I give permission for my child/children to participate fully in the GFST dive team program.

Dive Team Year

Parent's Contact Information
Member Number
*
Parent's Name
*
Street Address
*
City
*
State
*
Zip Code
*

Phone/Email
Mom's Home Phone
Mom's Work Phone
Mom's Cell
*
Mom's email
Dad's Home Phone
Dad's Work Phone
Dad's Cell Phone
*
Dad's email

Diver #1
Name of Diver #1
*
Driver #1's Nickname
Diver #1 - Ability

Is Diver #1 on Swim Team?

Diver #1 - Sex

Diver #1 - Age
*
Diver #1 - Birthdate
*
Diver #1 - T Shirt Size

Diver #2
Name of Diver #2
Diver #2's Nickname
Diver #2 - Ability

Is Diver #2 on Swim Team

Diver #2 - Sex

Diver #2 - Age
Diver #2 - Birthdate
Diver #2 - T Shirt Size

Emergency Contact Information
(other than Mom or Dad)
Contact Name
*
Emergency Phone
*
Child's Doctor
Doctor's Phone

If your child has asthma or allergies and is perscribed an inhaler or epi-pen where will it be kept?

Parent Participation
Dive Meet Support

Tableworkers
Announcer
Judge
Referee
Concessions
Other Support

Social
Banquet
Misc.
Comment
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