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Walton Waves Swimming

Walton Waves Swimming

Pd. Regist. _____________     Pd. Monthly fee: ___________________       Group - ________________  SL _____________   

Walton Waves

 

Last name _____________________First name_________________MI _____

Preferred Name_________________DOB_________  Age _____  M / F _____

Address ______________________________________ zip _______________

Parents Name ___________________________    Hm # __________________

mom cell ________________________  dad cell ________________________

Emergency # ___________________  email address ____________________

Have you swam on another USS swim team before other than with WW?

Name of team _______________________________ year _________

Medical Release & Information

Swimmer's Name(s) Allergies / Medications, Other info.

_______________________ - ________________________________________

_______________________ - ________________________________________

Insurance Company / Policy Number ______________  Insurance contact # __________

I, _____________________________ agree to release Youth Swimming, Inc.,  Walton Waves, Inc. , Emory at Oxford & Staff, from any responsibilty for property damage, illness, or injury incurred by my child at Emory at Oxford. I also agree to allow Yo Staff, or another authority to administer First Aide for my child, if necessary. I, the undersigned, will be responsible for any & all costs of medical attention and/or treatment.

Signed _________________________Date __________________

Please make checks payable to : Walton Waves If you have any further questions please call 

                                                                                                   770--843-7946 or 770-490-6401

You can mail registration form to:Walton Waves:  PO Box 1537, Oxford GA 30054 

Call 770-490-6401 for more information or visit our website: waltonwaves.net


 

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Walton Waves Swimming

PO Box 1537 
Oxford, Georgia 30054

Email Us: [email protected]
Phone : 770-490-6401
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