Coached by Southwestern Swimming’s … + + Coached by Southwestern Swimming’s Coaching Staff &...
Transcript of Coached by Southwestern Swimming’s … + + Coached by Southwestern Swimming’s Coaching Staff &...
Registration Form on Back
Coached by Southwestern Swimming’s Coaching Staff & Collegiate Athletes!
Who: Grades 1-12 (children must be water safe)
When: Saturdays in October @ Mingus Park Pool
Advanced Clinic: Stroke, Starts, & Turns Technique, and Intro to Dryland Strength and Conditioning
Time: 12:45-3pm Cost: $25 for 1 day / $75 for all 5 Saturdays
Beginner Clinic: Begin to Learn 4 Competitive Strokes Time: 1:45-3pm Cost: $20 for 1 day / $60 for all 5 Saturdays
**Family discount – 25% OFF each additional sibling**
SWOCC SWIM CAMP REGISTRATION FORM – Return to: Sandra Bullock, Southwestern Oregon Community College, 1988 Newmark Ave., Coos Bay, OR 97420.
Please make checks payable to: Southwestern Oregon Community College Swimming
Camper’s Name _________________________
Parent’s Name(s)___________ ____________________ ______
Address ____________________________________
City, State, Zip ______________________________ _____
Phone _____________________ __________ _ ___
Emergency Phone _______________________________ ___ __
Email__________________________________________ _ ____
� Male
� Female
Age ______
Grade in the Fall _________
DAY CAMPER FEE
ADVANCED CLINIC
� One-‐time Fee:$25 Date:
� Additional Siblings: $18.75
� 5-‐Saturdays Fee: $75
� Additional Siblings: $56.25
BEGINNER CLINIC
� One-‐time Fee: $20 Date:
� Additional Siblings: $15
� 5-‐Saturdays Fee: $60
� Additional Siblings: $45
T-‐SHIRT SIZE: Youth: � S �M �L �XL Adult: �S �M �L �XL �XXL
I acknowledge that I have elected to have my son/daughter participate in an activity that includes some risk of injury to him/her. I hereby release EPUERTO Sports and Southwestern Oregon Community College, its employees and agents from any injury or damage my son/daughter may suffer as a result of my voluntary participation in this activity and I hereby hold harmless Southwestern Oregon Community College, it’s employees and agents from any and all liability as a result of any injury or damage, of whatever nature, my son/daughter may suffer as a result of their voluntary participation in this activity.
Parent’s Signature___________________________________________________ Date _____________
Southwestern Oregon Community College is an equal opportunity educator and employer.