Aquatic and
2008 Lollipop Mini Meet
Team ____________________________________________________________
Coach____________________________________________________________
Mailing Address____________________________________________________
City______________________ State__________ Zip Code_________________
Number of Female Swimmers________________
Number of Female Entries___________________ @ $3.00 = _________
Number of Male Swimmers__________________
Number of Male Entries___________________ @ $3.00 = _________
Waiver for Participants
In consideration of your accepting my entry I hereby, for myself, my child, my heirs and administrators, waive and release any claims for damage I or my child may have against the City and the Aquatic and Fitness Center, and it’s representatives, successors and assigns for any injury suffered by myself or my child at any activity sponsored by these groups.
No refunds will be issued unless it adheres to the City policy.
Signature
of Team Representative__________________________________