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Swim Team Sign-Ups

The Morgantown-Butler County Swim Team is now taking signups for the 2012 season. We are looking forward to a great season.

Things you should know:
The swim season is for 2 months (June - July)
Practices are 5 days a week 5:00 PM - 6:00 PM
Swim Meets last for around 4 hours
Parent volunteers are needed at each meet
YOUR CHILD MUST KNOW HOW TO SWIM (We will teach them the 4 different strokes)

The fee is $50 per swimmer of for a family of 2 or more swimmers $40 per swimmer.

The form can be dropped off at Five Season's Flowers and Gifts on Main Street across from the court house.  Please have exact change or a check.

For more information you can contact Josh Henderson at [email protected] or by phone 270-791-7393 or Erin at [email protected] or by phone 270-999-2253. You can also follow us on Facebook at www.facebook.com/MBCSwimTeam.

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Application

Morgantown-Butler County Barracuda Swim Team
Sign up fee for Morgantown Butler County Barracuda Swim Team is $50 for one swimmer and 2 or more swimmers in a family the fee will be $40 each swimmer.
The fees are due at the time you sign up.

Our team swimsuits are a basic one piece suit-we would prefer a black swimsuit. Each swimmer will need goggles. Swim caps are optional.

Swimmers name __________________________ Age __________ Birthday _________ Gender ________

Swimmers name __________________________ Age __________ Birthday _________ Gender _________

Swimmers name __________________________ Age __________ Birthday _________ Gender _________

Father ____________________ Mother ________________________

Address City State Zip Code

Day Phone # ________________ Night Phone ___________ Cell phone # _____________

****Email Address:

Emergency Phone # _______________Contact Person _________________ Relationship _______________

Family Doctor ___________________ Doctor’s phone # ______________Hospital

Any allergies? If yes what?

Any medical condition we should be aware of?

Healthcare Insurance Carrier: Policy #

If you are interested you can purchase Parent’s Shirts for $15 each to support your swimmer.
Please list the number of shirts you would like and size.  (Regular T-Shirt or Sleeveless Top)

RELEASE AND INDEMNIFICATION: I agree to and hereby release Morgantown-Butler County Swim Team coaching staff; Morgantown City Pool; and Morgantown Butler County Swim Team Board Members; their agents and employees from all liabilities and claims arising by reason of injuries that may occur to my child while participating in the programs of the MBC. Swim Team, including travel to and from training sessions, other scheduled activities, and swimming meets. I agree to indemnify and hold harmless the above mentioned, their agents and employees, against any and all liability for personal injury, including injuries resulting in death, or damage to property, or both, while enrolled in the program. I agree to reimburse the above for any and all damages they are compelled to pay arising from any such claim, demand, action, or cause of action as may arise from my child or my child's action while enrolled in the program.

Signature of Parent/Guardian:                                                       Date:                                  Pd ck# & amt:

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