Please enable JavaScript in your browser to complete this form. - Step 1 of 5Family Last Name *Primary Email *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow many swimmers will you be registering today? Selected Value: 1 If you'd like to register more than five swimmers, please email president@forestparkflyers.com. Are you a first-time family to the Flyers? *YesNoDid somebody refer you to the Flyers? *YesNoWho referred you? *We'd love to say thanks!Are you members of the Forest Park Swim Club *YesNoNextParent/Guardian InformationParents/GuardiansGuardian 1 Name *FirstLastGuardian 1 Mobile Phone *Guardian 1 Work Phone *Guardian 2 Name *FirstLastGuardian 2 Mobile Phone *Guardian 2 Work Phone *InsuranceInsurance CarrierInsurance PhoneEmergency ContactEmergency Contact Name *FirstLastEmergency PhoneSecondary Emergency ContactSecondary Emergency Name *FirstLastSecondary Emergency PhoneNextSwimmer InformationSwimmer 1Swimmer 1 - Legal Name *FirstLastSwimmer 1 - Gender *FemaleMaleSwimmer 1 - Birthday (MM/DD/YYYY) *Swimmer 1 - Age (on 6/15/2023)Swimmer 1 - Shirt SizeYouth SmallYouth MediumYouth LargeXSSMLXL2XL3XLAll swimmers receive a complementary team t-shirt with registration if registered by May 1st, 2023.Swimmer 1 - Physician Name *Swimmer 1 - Physician Office Phone *Swimmer 1 - Medical Information Swimmer 1 - MedicationsSwimmer 1 - Boys Registration *Mini Flyers6 & Under Boys7 - 8 Boys9 - 10 Boys11 - 12 Boys13 - 14 Boys15 - 18 BoysSwimmer 1 - Girls Registration *Mini Flyers6 & Under Girls7 - 8 Girls9 - 10 Girls11 - 12 Girls13 - 14 Girls15 - 18 GirlsIs Swimmer 1 on their high school swim team? *YesNoSwimmer 2Swimmer 2 - Legal Name *FirstLastSwimmer 2 - Gender *FemaleMaleSwimmer 2 - Birthday (MM/DD/YYYY) *Swimmer 2 - Age (on 6/15/2023)Swimmer 2 - Shirt SizeYouth SmallYouth MediumYouth LargeXSSMLXL2XL3XLAll swimmers receive a complementary team t-shirt with registration if registered by May 1st, 2023.Swimmer 2 - Physician Name *Swimmer 2 - Physician Office Phone *Swimmer 2 - Medical InformationSwimmer 2 - MedicationsSwimmer 2 - Boys Registration *Mini Flyers6 & Under Boys7 - 8 Boys9 - 10 Boys11 - 12 Boys13 - 14 Boys15 - 18 BoysSwimmer 2 - Girls Registration *Mini Flyers6 & Under Girls7 - 8 Girls9 - 10 Girls11 - 12 Girls13 - 14 Girls15 - 18 GirlsIs Swimmer 2 on their high school swim team? *YesNoSwimmer 3Swimmer 3 - Legal Name *FirstLastSwimmer 3 - Gender *FemaleMaleSwimmer 3 - Birthday (MM/DD/YYYY) *Swimmer 3 - Age (on 6/15/2023)Swimmer 3 - Shirt SizeYouth SmallYouth MediumYouth LargeXSSMLXL2XL3XLAll swimmers receive a complementary team t-shirt with registration if registered by May 1st, 2023.Swimmer 3 - Physician Name *Swimmer 3 - Physician Office Phone *Swimmer 3 - Medical InformationSwimmer 3 - MedicationsSwimmer 3 - Boys Registration *Mini Flyers6 & Under Boys7 - 8 Boys9 - 10 Boys11 - 12 Boys13 - 14 Boys15 - 18 BoysSwimmer 3 - Girls Registration *Mini Flyers6 & Under Girls7 - 8 Girls9 - 10 Girls11 - 12 Girls13 - 14 Girls15 - 18 GirlsIs Swimmer 3 on their high school swim team? *YesNoSwimmer 4Swimmer 4 - Legal Name *FirstLastSwimmer 4 - Gender *FemaleMaleSwimmer 4 - Birthday (MM/DD/YYYY) *Swimmer 4 - Age (on 6/15/2023)Swimmer 4 - Shirt SizeYouth SmallYouth MediumYouth LargeXSSMLXL2XL3XLAll swimmers receive a complementary team t-shirt with registration if registered by May 1st, 2023.Swimmer 4 - Physician Name *Swimmer 4 - Physician Office Phone *Swimmer 4 - Medical InformationSwimmer 4 - MedicationsSwimmer 4 - Boys Registration *Mini Flyers6 & Under Boys7 - 8 Boys9 - 10 Boys11 - 12 Boys13 - 14 Boys15 - 18 BoysSwimmer 4 - Girls Registration *Mini Flyers6 & Under Girls7 - 8 Girls9 - 10 Girls11 - 12 Girls13 - 14 Girls15 - 18 GirlsIs Swimmer 4 on their high school swim team? *YesNoSwimmer 5Swimmer 5 - Legal Name *FirstLastSwimmer 5 - Gender *FemaleMaleSwimmer 5 - Birthday (MM/DD/YYYY) *Swimmer 5 - Age (on 6/15/2023)Swimmer 5 - Shirt Size Youth SmallYouth MediumYouth LargeXSSMLXL2XL3XLAll swimmers receive a complementary team t-shirt with registration if registered by May 1st, 2023.Swimmer 5 - Physician Name *Swimmer 5 - Physician Office Phone *Swimmer 5 - Medical InformationSwimmer 5 - MedicationsSwimmer 5 - Boys Registration *Mini Flyers6 & Under Boys7 - 8 Boys9 - 10 Boys11 - 12 Boys13 - 14 Boys15 - 18 BoysSwimmer 5 - Girls Registration *Mini Flyers6 & Under Girls7 - 8 Girls9 - 10 Girls11 - 12 Girls13 - 14 Girls15 - 18 GirlsIs Swimmer 5 on their high school swim team? *YesNoNextMedical Release WaiverI certify that I am the parent or legal guardian for my child(ren). I hereby give my permission for any supervisor, coach or other team administrator associated with the Forest Park Swim Team to seek and give appropriate medical attention for our child(ren) in the event of accident, injury, illness. I will be responsible for any and all costs associated with any necessary medical attention and/or treatment. I hereby waive, release and forever discharge Forest Park Swim Team and associated supervisor, coach or other team administrator from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Forest Park Swim Team activities, whether or not damages or loss is due to negligence. I hereby acknowledge that my children is (are) physically fit and capable of participation in all Swim Team activities.Medical Waiver Agreement *I have read and agree to the Medical WaiverLiability WaiverBy registering my child(ren) with the Forest Park Swim Team, I agree to participate (or allow my child(ren) and family members to participate) in the Forest Park Swim Team, and hereby release Forest Park Swim Team, its directors, officers, agents, coaches, and employees from liability for any injury that might occur to myself (or to my child(ren) and family members) while participating in the Forest Park Swim Team program, including travel to and from training sessions, swim meets or other scheduled team activities. I agree to indemnify and hold harmless the above mentioned organizations and/or individuals, their agents and/or employees, against any and all liability for personal injury, including injuries resulting in death to me, my child(ren) and/or other family members, or damage to my property, the property to my child(ren) and/or other family members, or both, while I (or my child(ren) or family members) participating in the Forest Park Swim Team program.Liability Waiver Agreement *I have read and agree to the Liability WaiverNextSwimmer 1 FeesSwimmer 1 Registration FeePrice: $ 375.00Swimmer 1 Registration FeePrice: $ 275.00Registration fee minus the high school swim team discountSwimmer 1 Splash FeePrice: $ 200.00Swimmer 1 Splash FeePrice: $ 100.00Splash Fee with the $100 New Family DiscountSwimmer 1 FundraisingPrice: $ 100.00Swimmer 2 FeesSwimmer 2 Registration FeePrice: $ 360.00Swimmer 2 Registration FeePrice: $ 275.00Registration fee minus the high school swim team discountSwimmer 2 Splash Fee Price: $ 150.00Swimmer 2 Fundraising Price: $ 100.00Swimmer 3 Fees Swimmer 3 Registration FeePrice: $ 345.00Swimmer 3 Registration FeePrice: $ 275.00Registration fee minus the high school swim team discountSwimmer 3 Splash Fee Price: $ 100.00Swimmer 3 FundraisingPrice: $ 100.00Swimmer 4 FeesSwimmer 4 Registration FeePrice: $ 330.00Swimmer 4 Registration FeePrice: $ 275.00Registration fee minus the high school swim team discountSwimmer 4 Splash FeePrice: $ 100.00Swimmer 5 Fees Swimmer 5 Registration FeePrice: $ 315.00Swimmer 5 Registration FeePrice: $ 275.00Registration fee minus the high school swim team discountSwimmer 5 Splash FeePrice: $ 100.00DepositFamily Job Deposit*Price: $ 100.00*Each Family is Responsible for $100 job deposit; please refer to the parent meet work obligationsTotal$ 0.00Including swim suitHow would you like to pay for your registration?Credit or Debit CardCash or CheckVenmoZelleCard Processing FeePrice: $ 20.00Total$ 0.00Including swim suitCard Information *CardName on CardCash or Check Checks can be made out to Forest Park Swim Team. Cash and checks can be submitted in person on selected dates to be announced soon. Please email treasurer@forestparkflyers.com if you do not see an email come out with dates to submit in person at the pool. Venmo Please scan the QR code, pay within the Venmo app, and then submit your team registration information. Venmo Please scan the QR code, pay within the Zelle app, and then submit your team registration information. Submit
