Swimmer Registration

Swimmer 1 Info

Swimmer 1 First Name *

Swimmer 1 Last Name *

Swimmer 1 Grade *

9
10
11
12

Swimmer 1 Gender *

male
female

Swimmer 1 Date of Birth *

(mm/dd/yy)

Swimmer 1 Age as of 11/1/19 *

Swimmer 1 Email (one checked daily) *

Swimmer 1 Cell phone *

Swimmer 1 Cell Phone Carrier

(AT&T, Sprint, Verizon, etc)

Swimmer 1 Locker #

Street Address *

Subdivision *

neighborhood/nearby neighborhoods- this helps with yard signs and carpool

Swimmer 1 Past Clubs/Teams *

Swim club/team he/she has been on in the past- also add what city/state if out of Middle Tennessee

Swimmer 1 - Allergies to medications *

NA if none

Swimmer 1 - Dietary Allergies/Restrictions *

NA if none

Swimmer 1 Medications *

NA if none

Parent/Guardian Info

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Email *

Parent 1 Cell Phone *

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Cell Phone

Swimmer 2 Info - (scroll down and click next if you only have one swimmer)

Swimmer 2 First Name

Swimmer 2 Last Name

Swimmer 2 Grade

9
10
11
12

Swimmer 2 Gender

male
female

Swimmer 2 Date of Birth

(mm/dd/yy)

Swimmer 2 Age as of 11/1/19

Swimmer 2 Email (one checked daily)

Swimmer 2 Cell phone

Swimmer 2 Cell Phone Carrier

(AT&T, Sprint, Verizon, etc)

Swimmer 2 Locker #

Swimmer 2 -- Allergies to Medications

NA if none

Swimmer 2 - Dietary Allergies/Restrictions

NA if none

Swimmer 2 -- Medications

Insurance Name *

Policy Info *

Group Number *

Insurance Phone Number *

Emergency Contact 1 - First and Last name *

Emergency Contact 1- Phone Number *

Additional Emergency Contacts (Names and Numbers)

I have read the paragraph below and acknowledge that typing my name is my signature giving consent for all of the above. By entering my "FULL NAME AND TODAY'S DATE I agree this equates to my physical signature. *

I/We hereby give consent for our child/children to participate in the swim program of Franklin High School Swim Club, Inc. (the “Swim Club”) and to be a member of the Franklin High School Swim Club’s swim team. I/We understand that the Swim Club’s swim program is a club sport at Franklin High School. I/We recognize that there are risks inherent in the sport of swimming and that there is the possibility of physical injury associated with swimming.

I/We hereby release, discharge, and agree to indemnify and hold harmless the Swim Club, its coaches, officers, directors, agents, employees, and volunteers, and the Williamson County Indoor Sports Complex (ISC) and its affiliated organizations and sponsors, their employees and associated personnel, including the owners of the pool and facilities utilized during the season from and against any claim, demand, action, cause of action, liability, or damages by or on behalf of the registered athlete as a result of participation on the swim team and/or being transported to or from the same, which transportation I hereby authorize. My son/daughter has received a current physical examination by a physician and has been found physically capable of participating on the swim team.

I/We hereby give consent to have an athletic trainer and/or doctor of medicine provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially or the reasonable cost of such assistance and/or treatment.

I/We understand WCS policy does not allow a suspended Student Athlete to participate in any WCS extra-curricular activities. MTHSSA rules require all Athletes to be in good standing with their respective schools. FHS Swim Club reserves the right to individually review the conduct of its Athletes as it relates to Club participation. As Athletes represent the Club; if an FHS Swim Club Athlete does not uphold basic standards of integrity; is suspended; or placed on In-School Suspension, that Athlete may only return to FHS Swim Club activities & competitions after suspension period is completed. Should there be a second suspension during that Swim Club Athlete’s career, that Athlete is subject to suspension or permanent expulsion from the team.

I/We understand that the FHS Swim Club upholds & expects its Athletes to uphold all WCS and FHS rules of student and athlete code of conduct and integrity.

Swimmer 1 Signature *

I have read the above paragraph and acknowledge that typing my name is my signature agreeing with the above.

As an FHS Swimmer, I understand that I represent FHS and my behavior extends to any and all facilities where swim activities take place and am held accountable for my behavior/choices. *

I have read the above paragraph and acknowledge that typing my name is my signature agreeing with the above.

Swimmer 2 Signature

I have read the above paragraph and acknowledge that typing my name is my signature agreeing with all of the above.

Coach/Swimmer Permission to Text Agreement 2019-2020 *

Accept
Reject

All communication conducted electronically between the Franklin High School Rebels Swim Coach and a student swimmer shall be for the purpose of official business of the Franklin High School Rebels Swim Team. The parent's signature below gives the Franklin High School Rebels Swim Coach permission to text your student at the number provided here. Parent's signature acknowledges any charges incurred in the receipt from or replies to these texts are not the responsibility of Franklin High School Rebels Swim Team or its coach. Duration of the agreement is for the school year of signature date. Coach Jill Brewster (agreement 8-30-19) Coach Jill's cell (615) 516-9498

Social Media Permission *

Accept
Refuse

The swimmer(s) named above has my permission to have their name(s) and picture(s) posted on the official team website, and other social media such as Facebook, Instagram, Twitter, etc.

Captcha *

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Swimmer Registration

Swimmer 1 Info

Parent/Guardian Info

Swimmer 2 Info - (scroll down and click next if you only have one swimmer)

FHS Rebels Team

Swim Registration Steps

Swimmer Registration

Swimmer 1 Info

Parent/Guardian Info

Swimmer 2 Info - (scroll down and click next if you only have one swimmer)

FHS Rebels Team

Swim Registration Steps

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