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    Winter Jan14-Feb. 20

    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.

    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

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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

    REQUIRED: GKAISA Participation Release

    I, the parent/guardian of the registrant(s) listed above, a minor(s), agree that the registrant(s) and I will abide by the rules of GKAISA, the _____________ Swim Team, its affiliated organizations and sponsors. Recognizing the possibility of physical injury that could occur during a swim meet or practice session and travel due to vehicle accident or other unforseen accidents, I hereby release, discharge and/or otherwise indemnify the GKAISA, the _____________ Swim Team, its affiliated organizations, sponsors, and associated personnel, including owners of pools and facilities utilized by the swim program against any claim by or on behalf of the registrant or their family as a result of the registrant's participation in the swim program and/or being transported to or from the same, which transportation I hereby authorize by the signing of this release. 

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    REQUIRED- Consent for Emergency Medical Care

    I, the parent/guardian of the registrant(s), a minor(s), give my permission to any adult officially representing GKAISA or the _________________ Swim Team to obtain emergency medical treatment for the registrant(s) in the event of an accident resulting in personal injury requiring such treatment.

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    REQUIRED: Parent/Athlete Sudden Cardiac Arrest Form

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    REQUIRED: Parent/Athlete Concussion Form

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