April 2015 Cleveland State Long Course Fee Commitment

April 2015 Cleveland State Long Course Fee Commitment
I, _______________________________________________ (Parent/Guardian Name), am contracting the Great Lakes
Sailfish Swimming (GLSS) for coaching services at Cleveland State University.
The Gilmour Academy Fins and other swimmers that have been recommended by their GLSS Coach(s) will be
training at Long Course, 50 meter at Cleveland State University. Practice will be 5:00pm Dry land 5:30 to 7:30 pm
Swimming. Practice will be Weekday evenings begin Monday April 6th and go through Thursday April 30th.
Saturday practices in April will be as scheduled at Gilmour Academy Pool.
Long Course Practice is planned to continue from May 1st through July 30 and possibly into August, but that will
be covered under a separate registration.
___________________________
Swimmer #1
T-Shirt
___________________________ __________________________
Swimmer #2
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Swimmer #3
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The additional fee for the month of April is $55 per swimmer.
Family Discounts: The first child pays full price second, third, etc. swimmers are discounted at 10%
I am choosing one of two options below designated by my initials in the box preceding it.
Option A: Enclosed is my Check for $55 per swimmer due before March 1, 2015
Mail form and check to: Diane Finnerty 7429 Scioto Ct. Solon, Ohio 44139
Option B: I have set up Auto pay either Credit Card or ACH in Team Unify and
consent to having the $55 per swimmer charged my account on April 1, 2015.
Send form : [email protected] before March 1, 2015.
The above swimmers are already registered GLSS swimmers and have either paid in full for the season or
have committed to paying the monthly fee for the Short Course season.
I hereby consent to this agreement and do so with the best of intentions not only for the benefit of my
child(ren) but also for every member of Great Lakes Sailfish Swimming.
Parent’s or guardian’s signature: ___________________________________ Date: _________________
Swimmer’s signature if over 18: _____________________________________Date: _________________