Swimming Meet Release Form
Please complete this form to participate in the swimming meet. This form includes a release of liability.
Participant Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name (if participant is under 18)
*
First Name
Last Name
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Conditions or Allergies
*
Signature of Participant or Guardian
*
Date of Signature
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: