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Please provide the number on your USA Swim Membership. If you are registering more than one swimmer, separate the numbers with commas. Indicate the name of the swimmer with the number. Example: Jane Doe 01234, John Doe 01235. *
I/We the parent guardian of the applicants listed above hereby give approval for participation in any and all Durham Dolphins Swim Team activities. I/We assume all risks and hazards incidental to participation, including transportation to and from swim team activities. I/We hereby waive, release, and absolve, indemnify and agree to hold harmless the Durham Area Swim Association, the Durham Dolphins Swim Team, the organizers, Board Members, sponsors, supervisors, participants, and persons transporting swimmers to or from any swim team activity for any claim arising out of an injury to the swimmer/member, whether it be the result of negligence or for any other cause, except to the extent and in the amount covered by accident and liability insurance. l/We agree to abide by all of the association’s rules. I/We will show the applicant’s birth certificate upon request. It is hereby understood that the parents/guardians are responsible for arranging transportation to and from swimming activities for their children. By providing your phone number (s), email address, and mailing address you hereby give the team permission to contact you in any available format.
It is hereby acknowledged and agreed by the undersigned that is consideration of your child listed herein, being accepted as a member of the Durham Dolphins Swim Team that agree to and understand the athlete and parent codes of conduct set forth in the Durham Dolphins Handbook. The codes will cover all the activities that involve the team and the use of the swimming facilities. It also includes behavior during scheduled competition at all away meets.
Disciplinary actions can range from, but are not limited to, reprimands, being sent home from practice or meets at the parents expense, expulsion from the team, barred from competition, or other disciplinary action that the Board of Directors deems necessary if a member fails to adhere to the codes in part or whole. The Board of Directors will review infractions considered serious in nature.
I understand that any other act, conduct, or omission, which is detrimental to the image or reputation of the Durham Dolphins Swim Team will not be tolerated. Your signature below indicates that you have read, understand, and agree to abide by the Codes of Conduct and all other responsibilities outlined in the Durham Dolphins Handbook.
I hereby authorize the Durham Dolphins Swim Team to publish the photographs taken of me and/or the registered minor children, and our names, for use in Durham Dolphins press releases, printed publications, website, and/or Facebook page. I release Durham Dolphins Swim Team from any expectation of confidentiality for the registered minor children and myself and attest that I am the legal guardian of the children registered and that I have the authority to authorize Durham Dolphins Swim Team to use their photographs and names. I acknowledge that since participation in publications and websites produced by Durham Dolphins Swim Team is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Durham Dolphins Swim Team confers no rights of ownership whatsoever. I release Durham Dolphins Swim Team, its officers, directors, and coaches from liability for any claims by me or any third party in connection with my participation or the participation of the registered minor children.
DURHAM RECREATION AND PARK DISTRICT AGREEMENT, WAIVER AND RELEASE - ALL PARTICIPANTS OR PARENTS/GUARDIANS MUST READ BEFORE SIGNING
IN CONSIDERATION FOR BEING PERMITTED BY THE DURHAM RECREATION AND
PARK DISTRICT TO PARTICIPATE IN ATHLETIC ACTIVITY INVOLVING SWIM TEAM ACTIVITIES, I HEREBY WAIVE, RELEASE, AND DISCHARGE ANY AND ALL CLAIMS FOR DAMAGES FOR PERSONAL INJURY, DEATH, OR PROPERTY DAMAGE WHICH I MAY HAVE OR WHICH MAY HEREAFTER ACCRUE AS A RESULT OF MY PARTICIPATION IN SAID ACTIVITY. THIS RELEASE IS INTENDED TO DISCHARGE IN ADVANCE THE ABOVE DISTRICT (ITS OFFICERS, EMPLOYEES, AND AGENTS) FROM AND AGAINST ANY AND ALL LIABILITY ARISING OUT OF OR CONNECTED IN ANY WAY WITH MY PARTICIPATION IN SAID ACTIVITY. I UNDERSTAND THAT THE ABOVE ACTIVITY MAY BE OF A HAZARDOUS NATURE AND/OR INCLUDE PHYSICAL AND/OR STRENUOUS EXERCISE OR ACTIVITY; AND THAT PARTICIPANTS IN THE ABOVE SPORT OR ACTIVITY OCCASIONALLY SUSTAIN MORTAL OR PERSONAL INJURIES AND/OR PROPERTY DAMAGES AS A CONSEQUENCE THEREOF. KNOWING THE RISKS INVOLVED, NEVERTHELESS, I HAVE VOLUNTARILY APPLIED TO PARTICIPATE IN SAID ACTIVITY AND I HEREBY AGREE TO ASSUME ANY AND ALL RISKS OF INJURY OR DEATH AND TO RELEASE AND HOLD HARMLESS THE ABOVE DISTRICT, ITS OFFICERS, EMPLOYEES, AND AGENTS. IT IS FURTHER UNDERSTOOD AND AGREED THAT THIS WAIVER, RELEASE, AND ASSUMPTION OF RISKS IS TO BE BINDING ON MY HEIRS AND ASSIGNS. I FURTHER AGREE TO INDEMNIFY AND TO HOLD THE ABOVE DISTRICT (ITS OFFICERS, EMPLOYEES, AND AGENTS) FREE AND HARMLESS FROM ANY LOSS, LIABILITY, DAMAGE, COST OR EXPENSE WHICH THEY MAY INCUR AS A RESULT OF ANY INJURY AND/OR PROPERTY DAMAGE THAT I MAY SUSTAIN WHILE PARTICIPATING IN SAID ACTIVITIES.
**PARENTAL CONSENT: (TO BE COMPLETED AND INITIALED BY PARENT/GUARDIAN IF APPLICANT IS UNDER 18 YEARS OF AGE). I HEREBY CONSENT THAT THE REGISTERED CHILDREN MAY PARTICIPATE IN THE ACTIVITIES, AND I HEREBY EXECUTE THE ABOVE AGREEMENT, WAIVER, AND RELEASE ON HIS/HER BEHALF. I STATE THAT SAID MINOR IS PHYSICALLY ABLE TO PARTICIPATE IN SAID ACTIVITIES. I HEREBY AGREE TO INDEMNIFY AND HOLD THE PERSONS HARMLESS FROM ANY LOSS, LIABILITY, DAMAGE, COST OR EXPENSE WHICH THEY MAY INCUR AS A RESULT OF THE DEATH OR INJURY OR PROPERTY DAMAGE THAT SAID MINOR MAY SUSTAIN WHILE PARTICIPATING IN SAID ACTIVITIES.
I HAVE CAREFULLY READ THE ABOVE AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ABOVE DISTRICT AND SIGN IT OF MY OWN FREE WILL.