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PCHM Registration - 2020

Welcome to registration for the PCHM Team!  

This registration form is for the swim team only.  Pool Dues are a separate charge and must be paid directly to the Pebble Creek Swim Club. You must be a member in good standing of the Pebble Creek Swim Club or Half-Mile Lake Homeowners Association in order to swim on the team.  To join the pool as an outright member, please register online at https://pcswimclub.net

If this is your swimmer's first year on the team, please bring a copy of their birth certificate to your SAIL rep or email a copy directly to karenneelyrd@gmail.com

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.

Please indicate which parents will be volunteering this season. At least one parent/guardian is required to volunteer.

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 Volunteer?

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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

Birth Certificate

Does PCHM have a copy of your swimmer(s) birth certificate(s)? *

SAIL Medical Release

I do hereby grant the bearer of this form my permission and consent to render emergency medical treatment for my swimmer(s). This authorization includes the power to consent to, and approve of, emergency medical treatment by a physician, hospital, or emergency care unit for such operations or procedures as are considered necessary or appropriate in the judgment of the medical staff of facility rendering the treatment. In addition, I understand that all expenses incurred in administering such treatment will be assumed and borne by me and are not the responsibility of SAIL or my child’s team or club.

I also understand that no claim may be made against SAIL or its insurance carriers until all claims have been made and answered by all other Insurance carriers on my swimmer.

*
Enter your initials to indicate acceptance: *
Waiver and Liability Release

In consideration of the work SAIL has done and will do to organize swim meets, and of the minor participant(s) listed below being allowed to participate in SAIL swim meets and related events and activities, the undersigned:

  1. Agree that the parent(s) and/or legal guardian(s) of the participant have the ability to inspect the facilities and equipment to be used at SAIL swim meets and related events and activities, and if the parent or guardian believes anything is unsafe, he or she should immediately advise supervisor (referee, lifeguard, etc.) of such condition(s) and refuse to allow participant to participate.
  2. Acknowledge and fully understand that each participant will be engaging in SAIL swim meets and related events and activities, which involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from his/her own actions, inactions, or negligence but the action, inaction or negligence of others, or the condition of the premises or of any equipment used. Further, we understand there may be other risk not known to us or not reasonably foreseeable at this time.
  3. Assume (for themselves and for the participant) all the foregoing risks and accept personal responsibility for the damages caused by such injury, permanent disability or death.
  4. Release, waive and discharge SAIL and its Executive Board of Directors, its affiliated teams, their representatives, coaches, other members/participants, sponsoring agencies, sponsors and advertisers, all of which are hereinafter referred to as “Releasees” from any and all claims, demands, losses or damage to each of the undersigned (who sign for themselves and also on behalf of the minor participant, his or her heirs and next of kin) on account of injury including permanent disability and death, resulting from causes as described in paragraph #2 above, which causes may include, but are not limited to the negligence of the Releasees.
*
Enter your initials to indicate acceptance: *
Code of Ethics

All members of the League shall adhere to the following Code of Ethics (Section 3.12 of the SAIL Bylaws).

  • As a participant, I will refrain from all personal action that might provoke other participants, spectators, or officials to unsportsmanlike conduct.
  • As an individual, I will refrain from offensive or abusive language and will confine myself to proper remarks at the proper time to officials in charge.
  • As a participant, I will respect the dignity of the meet in which I am engaged, the officials, the opponents, and the communities they represent.
  • As an individual participant, parent, coach, team, league representative or league officer, I will do nothing that would give myself or my team an unfair advantage over another participant or team.
  • As a coach or parent, I will not engage in nor permit actions which will interfere with the operation of the league or its meets; nor will I intrude upon the area of the league and meet officials.
  • As a meet official or league officer, I will return courteous answers to legitimate questions and recognize remarks made by authorized persons. I will not allow any acts by others which do not uphold the standards set forth in the by-laws of the league.
  • As a participant of the meet, I will maintain an attitude of true sportsmanship.
  • As a member of SAIL, I pledge myself to create a mature, healthy, and fair atmosphere for all swimmers at all times.
*
Enter your initials to indicate acceptance: *

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