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Online Registration

As required by the Northern Virginia Swim League (NVSL) for insurance purposes, this registration form must be completed in-full before your child can participate in the Hiddenbrook Hurricanes Swim Team program. Fees are due with the registration form.

Fees: $95.00 for the first swimmer, $85.00 for the second swimmer, $65.00 for the third swimmer, $35.00 each for the fourth or more swimmers within the same immediate family. NEW THIS SEASON we are accepting credit/debit card payments via PayPal. If possible, please complete the online registration by May 30, 2017. If you have questions, contact Marcel van Vierssen.  We welcome you and your children to the Swim Team!

Swimmer Information

Enter the appropriate information for each child you wish to register for the swim team. If you are unsure whether your four to eight year old swimmer is ready for swim team, register them as a Waterspout and indicate your preferred practice time. The coaches can evaluate them and discuss with you whether they could move up.
Swimmer #1 - First Name
Last Name
(mm/dd/yyyy)
Swimmer #2 - First Name
Last Name
(mm/dd/yyyy)
Swimmer #3 - First Name
Last Name
(mm/dd/yyyy)
Swimmer #4 - First Name
Last Name
(mm/dd/yyyy)
Swimmer #5 - First Name
Last Name
(mm/dd/yyyy)

Parental Information

All addresses listed here will receive team emails. Also, please include at least one contact phone number for each person listed in this section.
First Name
Last Name
Mother's Phone #
Home Address
Unit # (if applicable)
City
State
Zipcode
First Name
Last Name
Father's Phone #
Home Address
Unit # (if applicable)
City
State
Zipcode

Emergency Information

Vacation Information

Please check the boxes of the meets for which you KNOW your child will be ABSENT:

Volunteer Availability

Volunteer assistance is needed at all meets and behind the scenes to help the Swim Team run smoothly. We ask each family to help in some way at each meet and non-meet activity behind the scenes. Please indicate your availability for individual meets as well as the ways in which you might volunteer below:

Parental Waiver

As the parent/legal guardian of the swimmer(s) listed on the reverse side (“swimmer(s)”), I grant permission for the swimmer(s) to participate in all Hiddenbrook Hurricanes Swim Team activities. I agree and understand that swimming is a hazardous activity with many inherent risks. I, on behalf of myself and the swimmer(s), assume all risks and hazards incidental to the swimmer’s(s’) participation in the Hiddenbrook Hurricanes Swim Team activities, including but not limited to those risks arising from the transportation to and from such activities, and also do hereby release and waive all claims against the Hiddenbrook Hurricanes Swim Team, Hiddenbrook Swim and Tennis Club, Hiddenbrook Homes Association, Northern Virginia Swim League, and their respective coaches, team representatives, officers, volunteers, employees, agents, and fellow swim team participants, for any liability or injury resulting from the swimmer’s(s’) participation in the Hiddenbrook Hurricanes Swim Team program and activities. I, on behalf of myself and the swimmer(s), also agree to hold harmless and indemnify the entities, clubs, and persons named in this paragraph from all damages incurred arising from any claims related to the swimmer’s(s’) participation in the Hiddenbrook Hurricanes Swim Team activities. I further grant permission for the swimmer(s) to receive any and all emergency medical and/or dental attention and treatment deemed necessary in the event of an accident, injury, sickness, etc., at the request of the Hiddenbrook Hurricanes Swim Team representative presenting this Emergency Medical & Dental Treatment Authorization, until such time as I may be contacted. I hereby assume responsibility for payment of such medical and/or dental attention and treatment. I have read carefully and understand the significance of the foregoing and acknowledge on behalf of myself and the swimmer(s), my consent to and agreement with the terms of this Release and Waiver, and Emergency Medical & Dental Treatment Authorization, by checking the box below: