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2019 Registration Form

This is your Barkers Landing Swim Team Registration form

If you have registered in the past, log in (upper right corner of page) to pre-load your information.

Swimmers Age 14 and Under:

First Swimmer $150

Subsequent Swimmers  $125

Swimmers 15 & Up: $75

Team T-shirt Provided for Each Registered Swimmer

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

Please indicate which parents will be volunteering this season. At least one parent/guardian is required to volunteer.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone Volunteer?

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Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
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Home Address

School

Please enter the name of your swimmer's school *

Parent's employer

Please tell us where you work, we may be able to use a corporate sponsorship program.

Competitive Swimming

Does the swimmer participate in competitive swimming through a club or high school *

Swim Team

What Swim Team did you swim on last year? *

BLST code of conduct

Barkers Landing Swim Team

Parent and Swimmer Code of Conduct 2019

Barkers Landing Swim Team is an organization of volunteers assisted by a paid coaching staff. We provide an opportunity for our children to practice and compete in a fun and safe environment. We strive to promote good sportsmanship, teamwork, and respect for others. Following are a few rules and recommendations that we expect our swimmers and their parents to adhere to:

  • Parents should not coach or instruct any swimmer from the stands or any other area. They should refrain from disrupting the practice unless there is an emergency or in case of an immediate safety concern.
  • Swimmers are expected to respect and show courtesy and good sportsmanship to their teammates, coaches and other swimmers at all times.
  • Swimmers who exhibit inappropriate behavior toward another person will be excused from the practice. Our coach at any time has the authority to ask a swimmer to exit the pool for disciplinary reasons.
  • Volunteers operate meets. Parents agree to treat volunteers and officials with respect during competitions. Parents should not confront an official or stroke and turn judge about a disqualification. It is the coach's responsibility to challenge disqualifications.
  • As their schedule permits, parents are required to volunteer for tasks as needed by the Team.
  • Parents must ensure that a responsible adult supervises non-swimming children.
  • Swimmers and Parents must adhere to BL posted pool rules and help ensure that the facility be kept neat, clean and free from damage.
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2019 West Houston Aquatic League, Inc. Parental Release & Consent

RELEASE OF LIABILITY FOR PARTICIPANTS/SWIMMERS

IN CONSIDERATION OF my child(ren)/ward(s) being allowed to participate in any way in West Houston Aquatic League, Inc. (“WHALe”) events and activities, the undersigned hereby represents, acknowledges, appreciates, understands, consents, and agrees that:

1. All of the information that I or my spouse have provided to WHALe or its member teams is true and correct to the best of my knowledge and, in the event that I, my spouse, or any of my child(ren)/ward(s) obtains knowledge that any such information is untrue or incorrect, I will immediately provide true and correct information to the executive board or similar governing entity for my member team; and,

2. The risk of injury to my child(ren)/ward(s) from participation in WHALe events and activities is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk for serious injury does exist; and,

3. I for myself, my spouse, and my child(ren)/ward(s), knowingly and freely ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of WHALe or its member teams or its and their directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, the owners and/or lessors of the premises used to conduct the event (collectively, the “Releasees”), and ASSUME FULL RESPONSIBILITY for the participation of my child(ren)/ward(s) in WHALe events and activities; and,

4. I willingly agree to comply with the WHALe’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child(ren)/ward(s) readiness for participation and/or in any WHALe event or activity itself, I will remove my child(ren)/ward(s) from the participation and bring such attention of the nearest official immediately; and,

5. I for myself, my spouse, my child(ren)/ward(s), and on behalf of my/our heirs, assignees, personal representatives and next of kin, hereby RELEASE AND HOLD HARMLESS the Releasees, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY incident to my child(ren)/ward(s) involvement or participation in WHALe events and activities, EVEN IF ARISINGFROM THE NEGLIGENCE of the Releasees or otherwise, to the fullest extent permitted by law; and

6. I, for myself, my spouse, my child(ren)/ward(s), and on behalf of my/our heirs, assignees, personal representatives and next of kin, hereby INDEMNIFY the Releasees from any and all liabilities incident to my child(ren)/ward(s) involvement or participation in WHALe events and activities, EVEN IF ARISING FROM THE NEGLIGENCE of the Releasees or otherwise, to the fullest extent permitted by law; and,

7. In the event that any knowingly incorrect information provided by me or my spouse to WHALe or any of its member teams results in any additional liability, exposure, loss, or damage for any or all of the Releasees, I, for myself, my spouse, my child(ren)/ward(s), and on behalf of my/our heirs, assignees, personal representatives and next of kin, HEREBY ASSUME RESPONSIBILITY FOR, AND INDEMNIFY AND HOLD HARMLESS the Releasees for, all such liability, exposure, losses and damages.

I HAVE READ THIS RELEASE OF LIABILITY, FULLY UNDERSTAND ALL TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING, AND SIGN THIS RELEASE OF LIABILITY FOR PARTICIPANTS/SWIMMERS FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

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Team Media Release

1) Media Release: I consent to my child being photographed, interviewed and/or videotaped by

representatives of Barkers Landing Swim Team. Any information or images obtained from those activities may be

reproduced by the Team and/or the public media for use in advertising, publicity or educational activities,

including but not limited to Team publications, videos, web sites, print and news channels and that my

child(ren)s pictures may be included on the teams website where those with access will be able to purchase or

download copies of these pictures and or recordings. I hereby waive any claims I may have had, and release the

Team and its representatives and volunteers from liability of claims arising out of such activities. INITIAL ______(electronic)

Enter your initials to indicate acceptance:
All Registrations are Final

Swimmers must be registered to attend practice and to swim. I understand that my child(ren) will not be allowed to swim with the team until I have filled out, signed and handed in the Medical Consent to Treat Form and the Whale Parental Release & Consent Forms for 2019, and completed the registration process. All registrations are final, no exchanges or refunds.

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Volunteering Requirement Acknowledgment

By registering my child(ren) for the Barkers Landing Swim Team, I understand that my family is making a commitment to the team. Our team requires that one adult from each family work a shift (or another agreed upon job) for each meet. We provide all the training you require through the WHALE league, and do all we can to work with each family's needs. Please see our job descriptions for further information. 

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Enter your initials to indicate acceptance: *