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2021 Colusa Swimmer Registration Form

Thank you for your interest in the Colusa Cyclones Swim Team! Last summer was our first season back after a 7-year gap. Amazing as it seems, we had 84 swimmers participate and focus on skill building all summer. If you're ready to jump into the 2021 season, please complete the Colusa Cyclones Swim Team Registration Process. 

Different than last year, we'll collect a combined payment from you for the individual insurance requirements, then take care of that registration element on your behalf. You will also have an opportunity to purchase Colusa Cyclone gear for parents and swimmers! 

Thanks and we will see you at the pool!

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

Please indicate which parents will be volunteering this season. At least one parent/guardian is required to volunteer.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone Volunteer?

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Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
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Home Address

Swimmer Skills

My swimmer(s) is(are) able to swim 25 yards UNASSISTED. Please provide the name and confirmation if you have more than one swimmer separate the answers with commas. Example: Jane Doe - Yes, John Doe - Yes *

Codes of Conduct and Colusa Swim Team Handbook

It is hereby acknowledged and agreed by the undersigned that is consideration of your child listed herein, being accepted as a member of the Colusa Swim Team that agree to and understand the athlete and parent codes of conduct set forth in the Colusa Swim Team 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 Colusa 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 2021 Parent Handbook.

Enter your initials to indicate acceptance:
Photo Release Authorization

I hereby authorize the Colusa Swim Team to publish the photographs taken of me and/or the registered minor children, and our names, for use in Colusa Swim Team press releases, printed publications, website, and/or Facebook/Instagram page. I release Colusa 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 Colusa Swim Team to use their photographs and names. I acknowledge that since participation in publications and websites produced by Colusa 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 Colusa Swim Team confers no rights of ownership whatsoever. I release Colusa 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.

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Enter your initials to indicate acceptance: *
Colusa Swim Team Hold Harmless Agreement

I/We the parent guardian of the applicants listed above hereby give approval for participation in any and all Colusa 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 Colusa Swim Team, the organizers, Board Members, coaches, 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.

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Enter your initials to indicate acceptance: *

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