Registration

Swim Team Registration

Sign your child(ren) up for the 2025 swim team!

Parent Information

Acct #

Last Name(Required)

Parent/Guardian Name(Required)

Employer

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Street Address

City/State

Zip Code

Second Parent/Guardian Name

Employer

Second Parent/Guardian Email

Second Parent/Guardian Phone

Contact if parents are unavailable: relationship/phone #(Required)

Swimmer Information and Medical History

Swimmer’s Full Name	Age as of 6/1/2025	Shirt Size	Parent/Guardian Signature	Parent/Guardian Name	Date	Actions

There are no Swimmers.

Please click ‘Add Swimmer’ above and complete one form for each swimmer.

My swimmer(s) image can be used in the media. (Newspaper, social media, PSC website or bulletin board)(Required)

Yes

I agree to pay the Swim Team Fee (includes T-shirt and Swimmingly membership that is required to swim in meets)(Required)

$100 per swimmer $85 per additional sibling

Yes

I understand that I’m expected to volunteer my time at 2 different swim meets or will be required to pay a waiver fee.(Required)

Opt out of volunteer fee $150 per swimmer $200 per family

I agree to volunteer my time.

I will pay the fee. Add entry in Volunteer Sign-Up and check the box to opt out.

Volunteer Sign-up

Name	Timer (need 6-7 each meet) - Utilize personal cell phone (will need to download timing app) to record swimmers’ finishing times	Official (need 4 each meet) - Observe swimmers’ stroke technique and determine if it’s performed correctly (special certification required)	Runner (need 1-2 each meet) - Collects event cards from timers and brings to scorer	Actions

There are no Entries.

Press ‘Add Entry’ to fill out your volunteer availability.

Swim Team Fee

Select Total Swimmers(Required)

Payment Option

Credit Card Processing Fee

Price:

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Order Token

Swim Team Registration

Parent Information

Swim Team Fee

I, the undersigned parent/legal guardian of the above-mentioned participant indicated by the legal signature below, state that said participant is physically able to participate and has my permission to participate on the Poland Swim Club Swim Team.