Lexington STORM Summer League Swim Team:
WHO: All Swimmers between the Ages of 8 Years
(or sufficient experience) – 18 Years
WHAT: Summer League Swim Team begins June 10th
WHERE: Lexington Municipal Pool
COST: $100.00 Pool Members / $120.00 Non-Members (Includes Meet Fees)
WHEN: Practices are Mondays, Wednesdays, & Thursdays from either
9:30-10:30am OR 5:30-6:30pm
Practice: June 10, 12, 13
9:30-10:30am or 5:30-6:30pm
Practice: June 17, 19, 20
9:30-10:30am or 5:30-6:30pm
Swim Meet: Tuesday, June 18 –TBD
Practice: June 24, 26 & 27
Swim Meet: Tuesday, June 25 – TBD
Practice: July 1, 3
Swim Meet: Tuesday, July 2 – TBD
Practice: July 8, 10, 11
Swim Meet: Tuesday, July 9 –TBD
Practice: July 15, 17, 18
Swim Meet: Tuesday, July 16-TBD
Practice: July 22, 24 & 25
Swim Meet: TBD
Team Pot Luck: TBD
Championship Meet: TBD
July 29-Aug?: Duathalon Training & Water Polo
Duathalon: TBD
Lexington Summer League Swim Team 2013 Team Application:
SWIMMER(S) NAME:
BIRTHDATE:
AGE AS OF 6/1/13:
1.___________________________________________________________________________
2.___________________________________________________________________________
3.___________________________________________________________________________
4.___________________________________________________________________________
ADDRESS:_____________________________________________________________________
PARENT / GUARDIAN NAME:_____________________________________________________
PHONE (HOME):___________________________ CELL PHONE:________________________
E-MAIL ADDRESS:___________________________________________
FEE: $100.00 FOR MEMBERS OR $120 FOR NON-MEMBERS
Make Checks Payable To: Lexington City Pool
Drop Off the Application at the Pool OR
Mail Fee and Application To:
Craig Charley
P.O. Box 922
Lexington VA, 24450
Parents Please Read and Complete the Form Below:
I/We, the parents of the above swimmer(s) for the Rockbridge Storm Swim Team, hereby give my/our approval to his/her participation in any or all Lexington Storm
activities during the current season. I/We assume all risks and hazards incidental to such participation, including transportation to and from activities and I/we waive,
release, absolve, indemnify, and agree to hold harmless, Lexington Storm organizers, City of Lexington, all sponsors, coaches, supervisors and persons transporting
my/our children to or from activities from any claim arising out of an injury to my/our children. I authorize the coach of my/our child’s team or Lexington Storm
organizers to arrange for emergency medical attention should I/we not be present. I understand that I will be responsible for all costs associated with any emergency
treatment.
LIST ALL MEDICAL CONDTIONS TO BE CONSIDERED IN AN EMERGENCY:
PHYSCIAN:____________________ PHONE:____________________________
IN CASE OF AN EMERGENCY PLEASE NOTIFY:___________________________
EMERGENCY CONTACT-PHONE: _____________W__________________ C________________
PARENT SIGNATURE:_________________________________ DATE:_______________